convenio data_pagamento numero_protocolo matricula nome numero_guia ng_prest senha_guia codigo_produto descricao_produto valor_apresentado valor_pago valor_glosa descricao_motivo codigo_motivo
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.5000 0.2300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1056380 afb55c8be5f6cc50fb22f7a5aa0cd72f JACQUELINE NULL NULL 12227417917 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 0.0000 NULL GUIA DE CONSULTA NAO EXECUTADA 0622
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 20.2784 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 12262 ISOSSORBIDA 20 MG CP VO UN 0.0000 0.2158 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254419131 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 33227 LUVA CIRURGICA UN 0.0000 1.4475 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 20931 SULFATO DE MAGNESIO 100 MG/ML 10 ML 0.0000 1.8956 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 07510 MIDAZOLAM 1 MG/ML 5 ML SI IV AP 0.0000 6.4490 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12183280231 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 4e13adf421809cb755e1bdd80cc4efed AGRIPINA NULL NULL 12325730131 00069 SERINGA DESC 10 ML UN 0.6700 0.6663 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 31550 PREDNISONA 5 MG CP VO UN 0.3600 0.3570 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 31550 PREDNISONA 5 MG CP VO UN 0.3600 0.3570 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7781a83504beb0f6fc1c86041782e8a1 ELODY NULL NULL 12320802443 09733 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 644149ebf2a2c69f938aa1ae22f5ef7f MARIA NULL NULL 12185221839 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.3952 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321409939 00097 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321409939 00098 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321409939 00098 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 54d59bca98bdfc6e3183f3c58c8080a2 ELIABY NULL NULL 12220882236 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1780 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 54d59bca98bdfc6e3183f3c58c8080a2 ELIABY NULL NULL 12220882236 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0921fd1fdec226a623f2a3e272f6d27c GRASSIELA NULL NULL 12248207537 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 93ab10613d6a84b2e98ec68d66f5f061 LEOVEGILDO NULL NULL 12184124349 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0256 0.0244 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4085 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4085 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1877 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 27042 CLOREXIDINA 2 % ST TP ML DEGERMANTE 0.5300 0.5140 0.0160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.5140 0.0160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.5140 0.0160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.5140 0.0160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.5140 0.0160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3426 0.1374 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3426 0.1374 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.6853 0.2747 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.6853 0.2747 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.6853 0.2747 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1885 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1885 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1885 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8180 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 5.8400 5.8380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12254218741 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2785 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12254218741 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12254218741 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6920 0.3080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12254218741 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.5070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dee5a0d03c4673fe8898c0a0fff00916 ANA NULL NULL 12276505648 00126 LUVA CIRURGICA UN 1.4500 0.7237 0.7263 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dee5a0d03c4673fe8898c0a0fff00916 ANA NULL NULL 12276505648 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dee5a0d03c4673fe8898c0a0fff00916 ANA NULL NULL 12276505648 51649 ALCOOL ETILICO 70 % ST TP ML 0.3000 0.1700 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.8940 0.7760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.8940 0.7760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00091 SERINGA DESC 01 ML (INSULINA) UN 0.6100 0.2451 0.3649 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4159 0.1741 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4157 0.1743 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00090 SERINGA DESC 20 ML UN 0.5400 0.4900 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2210 0.0790 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2210 0.0790 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8500 0.1500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.4190 0.2510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.8551 0.0749 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3702 0.4398 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 000501 OXIGENIO 71.4200 57.9230 13.4970 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.5800 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1100 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6640 0.0060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.3203 0.9597 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4600 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4600 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP 151.9400 145.8639 6.0761 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7412 0.0688 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7412 0.0688 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7412 0.0688 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7412 0.0688 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222597035 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222597035 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222597035 10634 GLICOSE 50% 20 ML SI IV AP 0.0000 1.0678 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12219054932 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12219054932 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6cc91d0bae7ee80faf1515c3c1bc4604 OLGA NULL NULL 12241643640 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235281439 20370 SONDA URETRAL Nş 12 UN 0.0000 0.7558 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235281439 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 33227 LUVA CIRURGICA UN 0.0000 1.4475 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 268049a93bd6b26b4f5b79b2e6ede297 SALVINA NULL NULL 12187025148 19151 SERINGA DESC 10 ML UN 0.0000 0.6662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 24538 FIO VICRYL 2-0 C/ AGULHA 3,0 3/8 J 0.0000 18.1366 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12289578033 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12289578033 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12289578033 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12252609736 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12315497533 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12315497533 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 eff08749d885c5abdbd269091d7c9873 WILSON NULL NULL 12297485331 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 eff08749d885c5abdbd269091d7c9873 WILSON NULL NULL 12297485331 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 04938 LOSARTANA 50 MG CP VO UN 1.3300 1.0600 0.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1782 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1782 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.1310 0.1990 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.2600 0.2569 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00735 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 27.0600 13.5306 13.5294 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.6155 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.6155 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00541 AMIODARONA 200 MG CP VO UN 1.6800 1.3000 0.3800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3513 0.0487 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 01400 ALPRAZOLAM 0,5 MG CP VO UN 0.9400 0.7800 0.1600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00991 ESPIRONOLACTONA 25 MG CP VO UN 0.4800 0.3900 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 3.5502 0.3898 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 3.5502 0.3898 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00090 SERINGA DESC 20 ML UN 0.5400 0.4930 0.0470 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0000 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0000 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.1700 0.1600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00069 SERINGA DESC 10 ML UN 0.3300 0.2437 0.0863 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1910 0.1090 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 708d68a4ae1999a6665a776a342e110c MARIA NULL NULL 12263391414 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12309982210 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 9f58e9eb8338c79f6508d26fad4f4085 NEIRIANNY NULL NULL 12343393719 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 68e4fbc1f7689627e00a78630177dce9 NOEMIA NULL NULL 12253279911 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 65db4ed809d322b6d98cf95b97ed7565 RICARDO NULL NULL 12321625414 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 1d22a5a24382b0e8f9284a8113b49b1d ROSA NULL NULL 12325744816 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 98892b16dedcb51676bee7fb706388c5 SEBASTIANA NULL NULL 12309073211 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 123e0734cfcdf6293a655fa0e522a813 SERGIO NULL NULL 12312433416 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 827a08c875657a4e48def5c98fecdfb3 UIARA NULL NULL 12313919016 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 2b7fa68849020525c5658d9f96623f14 VICTOR NULL NULL 12323719510 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12268167617 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12255114115 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12289563317 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 c0054d45e1520f78140da82b23d33a5e WANDA NULL NULL 12318792410 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 eff08749d885c5abdbd269091d7c9873 WILSON NULL NULL 12281447213 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 ab1a041716bd33f40deac442fa25f48c WILZE NULL NULL 12336062117 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 07528 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 0.0000 12.8679 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12234060246 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320508342 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320508342 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.2900 0.2200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.2600 0.2070 0.0530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.5100 0.4070 0.1030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0130 0.0170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0130 0.0170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1570 0.2430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.3035 0.5765 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.7612 1.1788 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.7612 1.1788 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.7612 1.1788 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51662 Simeticona frasco c/15 ml 1.0500 0.9600 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283876047 51584 ESPARADRAPO MICROPORE 0.2600 0.2590 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 10.6300 2.9000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 10.6300 2.9000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.0826 1.7474 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.0826 1.7474 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 02246 HIDROCORTISONA 100 MG PO IM IV FA 5.6700 2.1691 3.5009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 02246 HIDROCORTISONA 100 MG PO IM IV FA 8.5000 3.2517 5.2483 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 02246 HIDROCORTISONA 100 MG PO IM IV FA 8.5000 3.2517 5.2483 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00124 LUVA CIRURGICA UN 7.2400 6.0298 1.2102 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0172 0.0328 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0170 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 2.7669 1.8431 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4340 0.1660 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 78.3800 78.3758 0.0042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 37025 PROPOFOL 1% SI IV ML 20.0000 15.0000 5.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00348 DIPIRONA 500 MG CP VO UN 0.5400 0.4100 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6940 0.3060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.3520 0.2380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.9797 0.3003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.9797 0.3003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00090 SERINGA DESC 20 ML UN 0.5400 0.1560 0.3840 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51241 AGULHA 123X45 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51241 AGULHA 123X45 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1960 0.1040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3010 0.0990 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51584 ESPARADRAPO MICROPORE 0.5100 0.3390 0.1710 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0400 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.9440 0.7860 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51163 AGUA BIDESTILADA 250 ML 5.7900 4.6320 1.1580 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51163 AGUA BIDESTILADA 250 ML 5.7900 4.6300 1.1600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 20010010 Eletrocardiograma - Ecg 16.5300 8.2600 8.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0f992b408cbd27a95de887ea229c0b26 JORGINA NULL NULL 12321704643 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51660 BROMETO DE IPRATROPIO SL IN GT 1.8000 0.3100 1.4900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51660 BROMETO DE IPRATROPIO SL IN GT 3.0000 0.5200 2.4800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51660 BROMETO DE IPRATROPIO SL IN GT 3.2000 0.5400 2.6600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1380 0.1220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00124 LUVA CIRURGICA UN 1.4500 1.0857 0.3643 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00069 SERINGA DESC 10 ML UN 0.3300 0.2629 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00069 SERINGA DESC 10 ML UN 0.3300 0.2629 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00069 SERINGA DESC 10 ML UN 0.3300 0.2629 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0600 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0600 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0600 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0600 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0500 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1300 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51378 SERINGA DESC 03 ML UN 0.1500 0.1100 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2300 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.9800 0.6900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 41.9800 41.9770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00069 SERINGA DESC 10 ML UN 0.3300 0.2533 0.0767 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00069 SERINGA DESC 10 ML UN 0.3300 0.2533 0.0767 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00069 SERINGA DESC 10 ML UN 0.6700 0.5144 0.1556 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 1.3700 0.3414 1.0286 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.3800 0.1500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 54687 IODOPOVIDONA SD TP ML 0.6000 0.3600 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.1339 2.2761 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00170 SORO GLICOSADO 5% 250 ML SI IV BS 6.7900 2.2578 4.5322 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP 37.9900 37.9862 0.0038 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP 37.9900 37.9855 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5013 0.0887 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5013 0.0887 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5013 0.0887 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1780 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1780 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.5590 0.1110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.7494 0.2506 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00069 SERINGA DESC 10 ML UN 0.3300 0.3190 0.0110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.3719 0.2181 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1778 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00124 LUVA CIRURGICA UN 1.4500 0.6206 0.8294 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00124 LUVA CIRURGICA UN 1.4500 0.6206 0.8294 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00124 LUVA CIRURGICA UN 1.4500 0.6206 0.8294 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00124 LUVA CIRURGICA UN 1.4500 0.6206 0.8294 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2912 0.0188 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4524 0.1376 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00097 ABOCATH N 14 A 22 UN 3.7700 3.0129 0.7571 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2995 0.0305 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3330 0.0670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51584 ESPARADRAPO MICROPORE 0.2600 0.1970 0.0630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51584 ESPARADRAPO MICROPORE 0.2600 0.1970 0.0630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 2.1840 0.4560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 2.1840 0.4560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 2.1840 0.4560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 2.1840 0.4560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 3.4086 3.4114 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 09340 LEVOFLOXACINO 5 MG/ML 100 ML SI IV BS 105.6800 105.6771 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.5000 0.2300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.5000 0.2300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.5000 0.2300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.5000 0.2300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 04963 PANTOPRAZOL 40 MG CP VO UN 3.4600 2.9800 0.4800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2150 0.3150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2150 0.3150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2150 0.3150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2150 0.3150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2150 0.3150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 03280 CLOREXIDINA 2 % ST TP ML 0.8000 0.3250 0.4750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8253 0.1347 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8253 0.1347 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8253 0.1347 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8253 0.1347 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.4400 1.2379 0.2021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51649 ALCOOL ETILICO 70 % ST TP ML 0.3000 0.1600 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 2.5637 0.2663 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 2.5637 0.2663 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 2.5637 0.2663 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 2.5637 0.2663 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 13.2000 13.1950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 15.8300 15.8250 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8185 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2080 0.5220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2080 0.5220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0300 0.7700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0200 0.7800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51660 BROMETO DE IPRATROPIO SL IN GT 2.4000 0.0600 2.3400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 0.3800 0.3216 0.0584 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.9800 0.9700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.1400 0.0680 0.0720 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.9737 0.3063 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.9737 0.3063 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 1.9119 0.6381 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1310 0.1690 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1310 0.1690 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2200 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51163 AGUA BIDESTILADA 250 ML 5.7900 4.8200 0.9700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1340 0.3960 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.4270 0.5730 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 24481 MOXIFLOXACINO 1,6 MG/ML 250 ML SI IV BS 129.8500 129.8467 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 1.2800 0.0000 1.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3690 0.1110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3690 0.1110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3690 0.1110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3690 0.1110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 51660 BROMETO DE IPRATROPIO SL IN GT 1.4000 0.0000 1.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 09b825abc9ef518ba223f29f2bf7c07b WALDEMAR NULL NULL 12171249749 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 00031 AGULHA DESC 13 X 45 UN 0.1900 0.1824 0.0076 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51241 AGULHA 123X45 0.1900 0.1808 0.0092 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51241 AGULHA 123X45 0.1900 0.1808 0.0092 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51241 AGULHA 123X45 0.1900 0.1808 0.0092 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51241 AGULHA 123X45 0.1900 0.1808 0.0092 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51241 AGULHA 123X45 0.1900 0.1808 0.0092 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51241 AGULHA 123X45 0.1900 0.1808 0.0092 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51241 AGULHA 123X45 0.1900 0.1808 0.0092 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 00097 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3073 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1300 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0280 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3809 0.0191 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1300 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1300 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1300 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1300 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1300 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1300 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.1900 0.1538 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.1900 0.1538 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.1900 0.1538 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.1900 0.1538 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.1900 0.1538 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.1900 0.1538 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.3800 0.3076 0.0724 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51419 FILTRO DE BARREIRA 24.0000 16.0000 8.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00069 SERINGA DESC 10 ML UN 0.3300 0.1735 0.1565 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00069 SERINGA DESC 10 ML UN 0.3300 0.1732 0.1568 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00069 SERINGA DESC 10 ML UN 0.3300 0.1732 0.1568 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00069 SERINGA DESC 10 ML UN 0.3300 0.1732 0.1568 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3230 0.0770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3230 0.0770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.6550 0.1550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.6550 0.1550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 1.9000 1.8980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 1.9000 1.8950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1470 0.0930 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1470 0.0930 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1470 0.0930 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2600 0.2500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 10.1392 10.1408 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2200 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.9000 0.6300 0.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51584 ESPARADRAPO MICROPORE 0.2600 0.0700 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51584 ESPARADRAPO MICROPORE 0.2600 0.0700 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51584 ESPARADRAPO MICROPORE 0.2600 0.0700 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 54653 DERSANI LC TP ML 19.4000 3.7300 15.6700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 54653 DERSANI LC TP ML 19.4000 3.7300 15.6700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 54653 DERSANI LC TP ML 19.4000 3.7300 15.6700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2400 0.2900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 54687 IODOPOVIDONA SD TP ML 0.4000 0.1200 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.1415 0.5885 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 9.4700 8.2919 1.1781 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 31291 METRONIZADOL 250 MG CP VO UN 0.2200 0.2170 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00838 HIDRALAZINA 50 MG DG VO UN 0.3200 0.2600 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00838 HIDRALAZINA 50 MG DG VO UN 0.3200 0.0890 0.2310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00838 HIDRALAZINA 50 MG DG VO UN 0.3200 0.0890 0.2310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059418 59089377bef2b589e3bcae928acbb062 ZILDA NULL NULL 12288781320 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059418 0b0d528834878a853de575d6fda99575 ANDRE NULL NULL 12276782325 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 26999 GANCICLOVIR 500 MG + DIL. PO IV F 151.0400 151.0374 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.7900 0.6235 0.1665 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 19216 SEVOFLURANO 1 ML/ML (100%) SL IN M 0.0000 301.8000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 07722 DRENO DE SUCÇAO UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 07315 DIPROSALIC (DIPROPIONATO DE BETAMET 0.0000 0.7483 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 19160 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 32719 CEFAZOLINA 1 GR + DIL. 10 ML FA 8.1300 8.1275 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1806 0.0094 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 11193 CLOREXIDINA 2 % ST TP ML 1.0394 1.0640 -0.2640 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 08648 ESPARADRAPO 10 X 4.5 CM CM 0.4256 0.5632 -0.1632 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51379 SERINGA DESC 05 ML UN 0.1900 0.0500 0.1400 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00069 SERINGA DESC 10 ML UN 0.3300 0.0870 0.2430 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00069 SERINGA DESC 10 ML UN 0.3300 0.0870 0.2430 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00069 SERINGA DESC 10 ML UN 0.3300 0.0870 0.2430 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.1350 0.3750 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00090 SERINGA DESC 20 ML UN 0.5400 0.1430 0.3970 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00090 SERINGA DESC 20 ML UN 0.5400 0.1430 0.3970 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00090 SERINGA DESC 20 ML UN 0.5400 0.1430 0.3970 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00090 SERINGA DESC 20 ML UN 0.5400 0.1430 0.3970 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00090 SERINGA DESC 20 ML UN 0.5400 0.1430 0.3970 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00090 SERINGA DESC 20 ML UN 0.5400 0.1430 0.3970 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51620 Modulo Em Pó De Fibras Solúveis 2.4400 0.6480 1.7920 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51620 Modulo Em Pó De Fibras Solúveis 2.4400 0.6480 1.7920 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51419 FILTRO DE BARREIRA 24.0000 6.3760 17.6240 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54157 EQUIPO P/ DIETA ENTERAL UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00919 ALGODAO HIDROFILO BOLINHA UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27042 CLOREXIDINA 2 % ST TP ML DEGERMANTE NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 51649 ALCOOL ETILICO 70 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 51649 ALCOOL ETILICO 70 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 51649 ALCOOL ETILICO 70 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 51649 ALCOOL ETILICO 70 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 51673 ALGINATO DE CALCIO EM HIDROGEL GL TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54172 DIETA DIABETES 1.5 KCAL/ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54685 POLVIDINE ALCOOLICA NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 51673 ALGINATO DE CALCIO EM HIDROGEL GL TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 51673 ALGINATO DE CALCIO EM HIDROGEL GL TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 51622 MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 54157 EQUIPO P/ DIETA ENTERAL UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 39030016 Dissecção de Veias ou Colocação Cateter Venoso NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 000445 TAXA DE TRANSPORTE E INSTALACAO DE EQUIPAMENTO DE NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 55968 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 201006 TAXA DE SALA PORTE V NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 00128 LUVA DE PROCEDIMENTO UNIDADE UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 00919 ALGODAO HIDROFILO BOLINHA UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 00094 ABOCATH N 14 A 22 UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 00919 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1300 NULL EXAME SEM REGISTRO DE EXECUCAO 2703
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00919 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.2700 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.0000 0.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 34010173 TOMOGRAFIA COMPUTADORIZADA DE ABDOM 0.0000 477.0390 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 25722 OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA 19.5800 0.0000 19.5800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3883 0.0117 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3883 0.0117 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3883 0.0117 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4089 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 c1f57a943a1055ad263b610d99977b67 ANITA NULL NULL 12248276839 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.0768 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 999999 DESPESAS HOSPITALARES DIVERSAS 0.0000 0.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 635cd71723457924a301ac7a159d9b2b BATISTINA NULL NULL 12319870235 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.0000 1.1974 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 9ceb7aa1edd4c9013f25d82381a85fb1 BENEDITA NULL NULL 12229148433 19151 SERINGA DESC 10 ML UN 0.0000 0.6662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 9ceb7aa1edd4c9013f25d82381a85fb1 BENEDITA NULL NULL 12229148433 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 29840 ETOMIDATO 2 MG/ML 10 ML SI IV AP 0.0000 16.1771 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 10626 GLICOSE 50% 10 ML SI IV AP 0.0000 2.1896 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cc4c5c9ac52be7906f0b6ce08416d241 BRUNA NULL NULL 12267241344 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321471846 20362 SONDA URETRAL N 10 UN 0.0000 0.4265 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12330307230 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12330307230 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12330307230 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8e33f9f53bac138de65049d2befe0f99 DELIO NULL NULL 12310009231 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 54d59bca98bdfc6e3183f3c58c8080a2 ELIABY NULL NULL 12325813637 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 57258 FUMARATO DE QUETIAPINA 25 MG CA V 0.0000 1.2471 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d1d2e0b986289681072cfb591ffd68af EUNICE NULL NULL 12325796035 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d1d2e0b986289681072cfb591ffd68af EUNICE NULL NULL 12325796035 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 22756 LIDOCAINA 2% S/ VASO SI PE ML 0.0000 0.2055 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 17760 FIO PROLENE 5-0 C/ AGULHA 1,5 1/2 9 0.0000 24.1854 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 55913 CISATRACURIO 10 MG 5 ML SI IV FR 0.0000 90.3990 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 f75b8a3ca92d2c95e65d2fff98be2d29 FRANCISCO NULL NULL 12270769836 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 f75b8a3ca92d2c95e65d2fff98be2d29 FRANCISCO NULL NULL 12270769836 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 f75b8a3ca92d2c95e65d2fff98be2d29 FRANCISCO NULL NULL 12270769836 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 f75b8a3ca92d2c95e65d2fff98be2d29 FRANCISCO NULL NULL 12270769836 27596 TIRA TESTE PARA GLICOSE UN 0.0000 2.5876 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 792c9785a1e3905ad1f4f4ddb78a9694 GERALDA NULL NULL 12321408539 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 19755 SONDA FOLEY 2 VIAS Nş 14 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9c457292aaeaf9fb2625e0716629becd ISABELLA NULL NULL 12263855845 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222531131 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 a7bb548f3353cba5fac1c27ef7fcd943 JACKSON NULL NULL 12281475030 18988 SCALP (TODOS) UN 0.0000 0.3971 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 05b1f0e1319ebc19385e39a443384241 JACOB NULL NULL 12274165832 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 679bafba1e46e48177b69c2d8cb34c73 JOANA NULL NULL 12332118930 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 679bafba1e46e48177b69c2d8cb34c73 JOANA NULL NULL 12332118930 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291130231 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 80b48beb268563c3e97e343f59e1bb64 JOAO NULL NULL 12243320148 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.2560 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 12235405732 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c4ded5870d9f9e4fcca132088e427e19 JOSE NULL NULL 12255378848 33227 LUVA CIRURGICA UN 0.0000 1.4475 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c4ded5870d9f9e4fcca132088e427e19 JOSE NULL NULL 12255378848 50644 MORFINA 10 MG/ML 1 ML SI IM IV PE 0.0000 5.2780 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248305538 19160 SERINGA DESC 20 ML UN 0.0000 0.5380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248305538 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248305538 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bfe0dce5ba78a927b1ddf0f5d8bcfddc JOSE NULL NULL 12263204342 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12254218741 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12254218741 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 71f935ca8fab6cccb6233fa8781155c0 LARA NULL NULL 12238580932 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12286876434 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 93ab10613d6a84b2e98ec68d66f5f061 LEOVEGILDO NULL NULL 12184124349 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 6.8164 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0000 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0000 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0000 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0000 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0120 0.0180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3901 0.0099 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3901 0.0099 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3901 0.0099 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 2.3672 2.3628 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00124 LUVA CIRURGICA UN 1.4500 1.4480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00124 LUVA CIRURGICA UN 1.4500 1.4480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00124 LUVA CIRURGICA UN 1.4500 1.4480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00124 LUVA CIRURGICA UN 1.4500 1.4480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00124 LUVA CIRURGICA UN 2.9000 2.8960 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00124 LUVA CIRURGICA UN 4.3400 4.3340 0.0060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3073 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 28311 TORNEIRINHA DE 3 VIAS DESCARTAVEL UN 2.1000 0.4201 1.6799 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2550 0.2550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.3142 0.9658 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.3142 0.9658 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.3142 0.9658 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 18.3476 1.9324 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 18.3471 1.9329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2670 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2670 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5350 0.0650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5350 0.0650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.9000 0.8020 0.0980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.9000 0.8020 0.0980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2940 0.1060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51457 LIDOCAINA 2% S/ VASO SI PE SC ML 4.1100 2.9304 1.1796 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 03081 AMIODARONA 50 MG/ML 3ML SI IV AP 13.1700 13.1687 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 03081 AMIODARONA 50 MG/ML 3ML SI IV AP 26.3400 26.3375 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 03081 AMIODARONA 50 MG/ML 3ML SI IV AP 26.3400 26.3375 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 2.8800 2.0560 0.8240 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d4dbfd05ca467c79165606fc7735e38f MARIA NULL NULL 12312451147 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2abb44c4a2ca59174467848d6678378d JESUINA NULL NULL 12266838249 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2abb44c4a2ca59174467848d6678378d JESUINA NULL NULL 12266838249 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2abb44c4a2ca59174467848d6678378d JESUINA NULL NULL 12266838249 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2abb44c4a2ca59174467848d6678378d JESUINA NULL NULL 12266838249 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 06da7e6171666c282a23b6bfaea34946 ANA NULL NULL 12311962340 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3073 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00090 SERINGA DESC 20 ML UN 1.0800 1.0700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00090 SERINGA DESC 20 ML UN 1.0800 1.0700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.2320 0.4380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.4100 0.3200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 20010141 Ecocardiograma Bidimensional com Mapeamento de Fluxo à Cores 137.7500 0.0000 137.7500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5996 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.7943 0.7957 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 00097 ABOCATH N 14 A 22 UN 3.7700 1.8830 1.8870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1694 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bfe0dce5ba78a927b1ddf0f5d8bcfddc JOSE NULL NULL 12263204342 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00919 ALGODAO HIDROFILO BOLINHA UN 0.1300 0.1270 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51240 FITA ADVANTAGE P/ GLICOSE UN 10.3500 10.3400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2767 0.0433 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2761 0.0439 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2761 0.0439 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2761 0.0439 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2761 0.0439 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2761 0.0439 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2761 0.0439 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2761 0.0439 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2761 0.0439 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2761 0.0439 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00097 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00097 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7781a83504beb0f6fc1c86041782e8a1 ELODY NULL NULL 12320802443 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2403 0.2397 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00069 SERINGA DESC 10 ML UN 1.6700 1.6677 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.1700 0.8460 0.3240 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3020 0.0980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00124 LUVA CIRURGICA UN 2.9000 2.7200 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00124 LUVA CIRURGICA UN 7.2400 6.8100 0.4300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51240 FITA ADVANTAGE P/ GLICOSE UN 10.3500 10.3417 0.0083 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2550 0.2550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.2354 0.3546 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0b0d528834878a853de575d6fda99575 ANDRE NULL NULL 12276785149 51584 ESPARADRAPO MICROPORE 0.7700 0.5130 0.2570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0b0d528834878a853de575d6fda99575 ANDRE NULL NULL 12276785149 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.5110 0.2590 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2500 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.8340 0.8360 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2fd28f5aa76be7aa2072537d0ba85951 ELAINE NULL NULL 12255258142 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a48e469abc716636c97d5b4032f77caa APARECIDA NULL NULL 12309719743 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a48e469abc716636c97d5b4032f77caa APARECIDA NULL NULL 12309719743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 00090 SERINGA DESC 20 ML UN 1.6100 1.6070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7220 0.0880 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.4000 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 9b5312a9b62e67e053cee9fae99cb3ca MARIANA NULL NULL 12327329933 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 bcaf52a172d225b74745a133f1a88ade MARIANA NULL NULL 12267218032 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 01c86ea9e8701666ebfce68f2b0f03a6 ZELIA NULL NULL 12298014038 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 01c86ea9e8701666ebfce68f2b0f03a6 ZELIA NULL NULL 12298014038 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 01c86ea9e8701666ebfce68f2b0f03a6 ZELIA NULL NULL 12298014038 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cfec8246cb6dd6b0209430096d4acc2e ZILDA NULL NULL 12216841040 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 6.8164 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 9b5312a9b62e67e053cee9fae99cb3ca MARIANA NULL NULL 12327329933 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1885 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00124 LUVA CIRURGICA UN 1.4500 0.0000 1.4500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 1.2011 0.0789 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51584 ESPARADRAPO MICROPORE 0.1300 0.1000 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0373 0.0127 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51514 ATORVASTATINA CALCICA 40 MG CP VO UN 6.1800 3.4800 2.7000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.4216 0.3884 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.4216 0.3884 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 00091 SERINGA DESC 01 ML (INSULINA) UN 0.9200 0.3947 0.5253 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.9200 0.2327 1.6873 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.9200 0.2327 1.6873 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 2.8800 0.3491 2.5309 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.7941 0.7959 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.2060 0.7940 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 268049a93bd6b26b4f5b79b2e6ede297 SALVINA NULL NULL 12187025148 51475 FUMARATO DE QUETIAPINA 25 MG CA VO UN 1.2500 1.2471 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 268049a93bd6b26b4f5b79b2e6ede297 SALVINA NULL NULL 12187025148 51475 FUMARATO DE QUETIAPINA 25 MG CA VO UN 1.2500 1.2471 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12254155740 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.8330 0.8370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12254155740 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7670 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12254155740 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3073 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3073 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3073 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2150 0.2950 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5150 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5150 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5150 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51378 SERINGA DESC 03 ML UN 0.1500 0.1460 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.5338 0.7462 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.5338 0.7462 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00090 SERINGA DESC 20 ML UN 0.5400 0.4780 0.0620 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00090 SERINGA DESC 20 ML UN 0.5400 0.4780 0.0620 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00090 SERINGA DESC 20 ML UN 0.5400 0.4780 0.0620 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51379 SERINGA DESC 05 ML UN 0.1900 0.1774 0.0126 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51379 SERINGA DESC 05 ML UN 0.1900 0.1774 0.0126 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51379 SERINGA DESC 05 ML UN 0.1900 0.1774 0.0126 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51379 SERINGA DESC 05 ML UN 0.1900 0.1774 0.0126 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51379 SERINGA DESC 05 ML UN 0.1900 0.1774 0.0126 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51379 SERINGA DESC 05 ML UN 0.1900 0.1774 0.0126 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1882 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0600 0.0400 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0600 0.0400 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8400 0.1600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.3900 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.3800 0.2900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.1800 0.2200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.1800 0.2200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.1800 0.2200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0455 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0455 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5131 0.0869 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5131 0.0869 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.0263 0.1737 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51584 ESPARADRAPO MICROPORE 0.5100 0.3130 0.1970 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.4786 0.9314 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2820 0.1180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6cc91d0bae7ee80faf1515c3c1bc4604 OLGA NULL NULL 12241643640 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 002e84540426cd384f5b22f477994999 STEPHANIE NULL NULL 12277394230 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259333639 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259333639 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 a1fdd21cd8fbd02e31350f0a5890f317 MARIA NULL NULL 12265559337 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 6.8164 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 a1fdd21cd8fbd02e31350f0a5890f317 MARIA NULL NULL 12265559337 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 a1fdd21cd8fbd02e31350f0a5890f317 MARIA NULL NULL 12265559337 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12261773339 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281439230 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 7e6117ac94f603a115a3c16972503f7a ABADIA NULL NULL 12309751212 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 4e13adf421809cb755e1bdd80cc4efed AGRIPINA NULL NULL 12325708417 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 855b5eec2465ffe6bde8bad4f7ccdc93 ANDREIA NULL NULL 12321662614 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 f04c615af679993e29c1dda39dc5132f DANIELY NULL NULL 12267206318 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298088819 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12319636519 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308838310 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 2fd28f5aa76be7aa2072537d0ba85951 ELAINE NULL NULL 12254384410 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 fddb69293250e3bdcd785c8c2bb666d0 ELEUZA NULL NULL 12320132918 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 6d3eecab3cda4b109d251db6a0071b8f ELIVANE NULL NULL 12309240516 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 7781a83504beb0f6fc1c86041782e8a1 ELODY NULL NULL 12320793415 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12330558517 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 6cd53673cf3391852cb409387aba4195 IARA NULL NULL 12298119915 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 77abe916a4e8441d72ab4efadd817fdc IDELMA NULL NULL 12275593118 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 679bafba1e46e48177b69c2d8cb34c73 JOANA NULL NULL 12343340312 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 8945839593ea1e2b2001473532c73738 KAYKY NULL NULL 12264236411 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 01da4184a07e70b560e2bdfd88fa1efb MARCELO NULL NULL 12321794918 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 a04b3e81d3fd469a64fe82d4cf08744a MARIA NULL NULL 12267210016 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 ca54d03f7ddea0e48557d314330f712f MARIA NULL NULL 12309763410 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 f2ab8310b8be90400bb8fd6263bc4866 MARIA NULL NULL 12287641218 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 174e0e9ca2686c6bf7afeb5295c13e21 MARIA NULL NULL 12276760711 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248313941 33227 LUVA CIRURGICA UN 0.0000 1.4475 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 21865 ACIDO TRANEXAMICO 50 MG/ML 5 ML SI 0.0000 17.5396 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01929 ATROPINA 0,50 MG SI IV AP 0.0000 1.2978 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24457 FIO MONONYLON 4-0 C/ AGULHA 2,0 3/ 0.0000 6.6869 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222598130 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 32719 CEFAZOLINA 1 GR + DIL. 10 ML FA 0.0000 16.2550 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 f685e09d052377a3e37cdc0156d85f6f LIA NULL NULL 12325737230 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 34010173 TOMOGRAFIA COMPUTADORIZADA DE ABDOM 0.0000 477.0390 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 34010130 TOMOGRAFIA COMPUTADORIZADA DO TORAX 0.0000 280.6875 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 60f97c801a1d271daafad302f72f1214 MARCOS NULL NULL 12329560737 19151 SERINGA DESC 10 ML UN 0.0000 0.6662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9dbb8f82efe7a16aa84c856804bd479e SEBASTIAO NULL NULL 12228729249 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9dbb8f82efe7a16aa84c856804bd479e SEBASTIAO NULL NULL 12228729249 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 34010130 TOMOGRAFIA COMPUTADORIZADA DO TORAX 0.0000 280.6875 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 09b825abc9ef518ba223f29f2bf7c07b WALDEMAR NULL NULL 12171249749 54780 ADENOSINA 3 MG/ML 2 ML SI IV AP 0.0000 35.5773 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 09b825abc9ef518ba223f29f2bf7c07b WALDEMAR NULL NULL 12171249749 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8c6a67a46a9b7171eab5ccc5499b0d9d ANELITA NULL NULL 12255137334 00111 ABOCATH N 14 A 22 UN 3.7700 3.7663 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8c6a67a46a9b7171eab5ccc5499b0d9d ANELITA NULL NULL 12255137334 00098 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 31828 PREDNISONA 20 MG CP VO UN 0.7500 0.7480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 21245 TIAMAZOL 5 MG CP VO UN 0.5000 0.4989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 21245 TIAMAZOL 5 MG CP VO UN 0.5000 0.4989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 09733 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 09733 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2459 0.0641 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1020 0.1580 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1020 0.1580 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00090 SERINGA DESC 20 ML UN 0.5400 0.2090 0.3310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00090 SERINGA DESC 20 ML UN 0.5400 0.2090 0.3310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.0118 0.5782 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4800 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4800 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4800 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2500 0.1500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.0200 0.7100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7963 0.1637 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7963 0.1637 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7963 0.1637 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 51379 SERINGA DESC 05 ML UN 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.1360 2.2740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1920 0.0680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1323 0.0477 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7490 0.2510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9388 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1263 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9821 0.4279 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 32050054 RX Tórax: P. A. - Lat 20.2100 10.1053 10.1047 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8160 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 02252 METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL 15.2800 15.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3400 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3400 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3400 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3400 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.6801 0.2799 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.9200 1.3603 0.5597 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3997 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8095 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8095 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51475 FUMARATO DE QUETIAPINA 25 MG CA VO UN 1.2500 1.2471 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2760 0.2040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5520 0.4080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5520 0.4080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51584 ESPARADRAPO MICROPORE 0.2600 0.1920 0.0680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51584 ESPARADRAPO MICROPORE 0.2600 0.1920 0.0680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 3.7500 2.1800 1.5700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 3.7500 2.1800 1.5700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 3.7500 2.1800 1.5700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 54687 IODOPOVIDONA SD TP ML 0.2000 0.0800 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00404 LACTULOSE 667 MG/ML XP VO ML 8.5800 8.5700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 51662 Simeticona frasco c/15 ml 1.2000 1.1400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 51662 Simeticona frasco c/15 ml 1.2000 1.1400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 51662 Simeticona frasco c/15 ml 1.2000 1.1400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 51662 Simeticona frasco c/15 ml 3.6000 3.4200 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8b09750a6d2390cf2ffd5dd76799599a IVON NULL NULL 12292121344 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2370 0.0930 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.2708 0.3192 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.2707 0.3193 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5990 0.4010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51208 SORO RINGER SIMPLES 500 ML SI IV BS 17.8100 8.9075 8.9025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.8931 0.0369 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.8931 0.0369 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4098 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 54653 DERSANI LC TP ML 19.4000 3.9700 15.4300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.1719 0.5181 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00090 SERINGA DESC 20 ML UN 0.5400 0.5080 0.0320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51379 SERINGA DESC 05 ML UN 0.1900 0.0274 0.1626 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6840 0.3160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.1430 0.5270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.1430 0.5270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2100 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 1.1305 2.2695 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.1339 2.2761 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.1339 2.2761 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00069 SERINGA DESC 10 ML UN 0.3300 0.3190 0.0110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1290 0.1310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51584 ESPARADRAPO MICROPORE 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5065 0.0935 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 54687 IODOPOVIDONA SD TP ML 0.4000 0.3400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3869 0.0131 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3869 0.0131 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3869 0.0131 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248313941 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248313941 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2500 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2500 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.3735 0.2165 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.5354 1.0746 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.4000 0.1100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.4000 0.1100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 1.0252 0.2548 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1830 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1830 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1830 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1830 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3476 0.0524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3476 0.0524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3476 0.0524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 2.8300 2.4597 0.3703 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.7485 0.1315 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.7485 0.1315 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.7485 0.1315 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.7485 0.1315 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.5096 1.4304 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51662 Simeticona frasco c/15 ml 1.0500 1.0200 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51662 Simeticona frasco c/15 ml 1.0500 1.0200 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51662 Simeticona frasco c/15 ml 1.0500 1.0200 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 2.4600 11.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 2.4600 11.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 2.4600 11.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 2.4600 11.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 2.4600 11.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6052 0.0848 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6052 0.0848 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6052 0.0848 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6052 0.0848 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6052 0.0848 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6052 0.0848 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 2.5637 0.2663 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 00069 SERINGA DESC 10 ML UN 0.3300 0.0000 0.3300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0000 0.1000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 0.0000 3.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51584 ESPARADRAPO MICROPORE 0.5100 0.4580 0.0520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51584 ESPARADRAPO MICROPORE 0.5100 0.4580 0.0520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51584 ESPARADRAPO MICROPORE 0.5100 0.4580 0.0520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51219 ALENIA 1.1700 0.1670 1.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51219 ALENIA 1.1700 0.1670 1.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5407 0.0593 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5407 0.0593 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5407 0.0593 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5407 0.0593 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5407 0.0593 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5407 0.0593 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4552 0.5048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4552 0.5048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4552 0.5048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4552 0.5048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 52216 GLICOSE 50% 20 ML SI IV AP 2.1400 2.1355 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.5050 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5661 0.0339 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1308 0.0692 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 01740 ATADURA CREPOM 15 CM UN 0.0000 1.1657 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.2399 0.0001 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 52391 SONDA PLAST ASPIRAÇAO TRAQUEAL C/ VALVULA UN 4.9700 4.9698 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00124 LUVA CIRURGICA UN 1.4500 1.3200 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00124 LUVA CIRURGICA UN 1.4500 1.3200 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00124 LUVA CIRURGICA UN 2.9000 2.6300 0.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00091 SERINGA DESC 01 ML (INSULINA) UN 0.9200 0.8958 0.0242 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51378 SERINGA DESC 03 ML UN 0.1500 0.0300 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51378 SERINGA DESC 03 ML UN 0.1500 0.0300 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51378 SERINGA DESC 03 ML UN 0.1500 0.0300 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00069 SERINGA DESC 10 ML UN 0.3300 0.1732 0.1568 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00069 SERINGA DESC 10 ML UN 0.3300 0.1732 0.1568 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00069 SERINGA DESC 10 ML UN 0.3300 0.1732 0.1568 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5495 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.2700 0.1730 0.0970 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1930 0.1070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1930 0.1070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1930 0.1070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3860 0.2140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51584 ESPARADRAPO MICROPORE 0.5100 0.3400 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 2.0400 0.0000 2.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 2.7200 0.0000 2.7200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51164 AGUA BIDESTILADA 500 ML 6.4300 6.4260 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3230 0.0770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 30813 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.3252 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 30813 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.3252 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 93ab10613d6a84b2e98ec68d66f5f061 LEOVEGILDO NULL NULL 12184124349 31569 PROPRANOLOL 40 MG CP VO UN 0.0000 0.1560 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 34860 SULFAMETOXAZOL 400 MG + TRIMETOPRIM 0.3500 0.3480 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 58661 ENCRISE (ARGIPRESSINA) 20 U/ML 1 ML 0.0000 20.1180 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 21261 TEICOPLANINA 400 MG + DIL. 3 ML PO 362.7200 362.7166 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 27308 FIO MONOCRYL 5-0 C /AGULHA 1,65 45 0.0000 44.2588 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cfec8246cb6dd6b0209430096d4acc2e ZILDA NULL NULL 12216841040 60836 KIT PARA ULTRASSONOGRAFIA INTRACORO 0.0000 3597.8799 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00881 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.2671 0.0629 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00881 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.2652 0.0648 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00881 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.2652 0.0648 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00881 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.2652 0.0648 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00838 HIDRALAZINA 50 MG DG VO UN 0.3200 0.2700 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00838 HIDRALAZINA 50 MG DG VO UN 0.3200 0.2600 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 d030c2f87247eced25fceb7f06032432 FLORISMAR NULL NULL 12343582618 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 2fb5ec47cedb46e5e8523ea81ea960fd JURACY NULL NULL 12341307014 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 536315bfe93c4ada7aaf449e21417f4b SIMONE NULL NULL 12343439916 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51584 ESPARADRAPO MICROPORE 0.2600 0.2520 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51241 AGULHA 123X45 1.0600 0.0000 1.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51241 AGULHA 123X45 1.0400 0.0000 1.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2816 -0.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2816 -0.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.5120 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 51584 ESPARADRAPO MICROPORE 0.2600 0.2600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cfec8246cb6dd6b0209430096d4acc2e ZILDA NULL NULL 12216841040 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2520 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2816 -0.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2560 0.0140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.5120 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6852 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 00737 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 54.1276 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 83.9500 83.9500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.2000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 00919 ALGODAO HIDROFILO BOLINHA UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 00919 ALGODAO HIDROFILO BOLINHA UN 0.3000 0.3000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 00919 ALGODAO HIDROFILO BOLINHA UN 0.3000 0.3000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320508342 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283876047 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283876047 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1228 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.8300 0.8300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059418 877d203495b961dbe628d0b7639b2706 WELLESLEY NULL NULL 12309669721 999999 INSUMOS 40080200 0.0000 0.0000 NULL MATERIAL INVALIDO 2001
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27308 FIO MONOCRYL 5-0 C /AGULHA 1,65 45 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 06da7e6171666c282a23b6bfaea34946 ANA NULL NULL 12311962340 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 06da7e6171666c282a23b6bfaea34946 ANA NULL NULL 12311962340 09340 LEVOFLOXACINO 5 MG/ML 100 ML SI IV BS 105.6800 105.6800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 06da7e6171666c282a23b6bfaea34946 ANA NULL NULL 12311962340 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 06da7e6171666c282a23b6bfaea34946 ANA NULL NULL 12311962340 00919 ALGODAO HIDROFILO BOLINHA UN 0.2800 0.2560 0.0240 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0b0d528834878a853de575d6fda99575 ANDRE NULL NULL 12276785149 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dee5a0d03c4673fe8898c0a0fff00916 ANA NULL NULL 12276505648 00098 ABOCATH N 14 A 22 UN 3.7700 3.7640 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dee5a0d03c4673fe8898c0a0fff00916 ANA NULL NULL 12276505648 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0986 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dee5a0d03c4673fe8898c0a0fff00916 ANA NULL NULL 12276505648 00919 ALGODAO HIDROFILO BOLINHA UN 0.4400 0.4352 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 01740 ATADURA CREPOM 15 CM UN 0.0000 1.1657 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.9983 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 10626 GLICOSE 50% 10 ML SI IV AP 0.0000 2.1896 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20931 SULFATO DE MAGNESIO 100 MG/ML 10 ML 0.0000 1.8956 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 21261 TEICOPLANINA 400 MG + DIL. 3 ML PO 362.7200 362.7115 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.6000 0.5987 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.8000 1.7961 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.8000 1.7961 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20559 SORO FISIOLOGICO 0,9% 250 ML SI IV 7.8900 7.8894 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 37761 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0600 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 37761 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0600 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 37761 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0600 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 13757 IODOPOVIDONA SD TP ML 0.4000 0.4000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 13757 IODOPOVIDONA SD TP ML 0.4000 0.4000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 13757 IODOPOVIDONA SD TP ML 0.4000 0.4000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 40.5600 40.5568 0.0032 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 60.8400 60.8352 0.0048 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 28959 DERSANI LC TP ML 19.4000 19.4000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 28959 DERSANI LC TP ML 19.4000 19.4000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 28959 DERSANI LC TP ML 19.4000 19.4000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 55018 ALGINATO DE CALCIO EM HIDROGEL GL 21.3900 22.0800 -1.3800 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33219 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6650 0.0050 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 52353 ABAIXADOR DE LINGUA UN 0.0500 0.0768 -0.0268 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 52353 ABAIXADOR DE LINGUA UN 0.0500 0.0512 -0.0012 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 1.8000 1.8000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 1.8000 1.8000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.9000 0.9000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.9000 0.9000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.9000 0.9000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.6000 0.6000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.3000 0.3000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.3000 0.3000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.3000 0.3000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33219 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 1.5400 1.5360 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 1.5400 1.5360 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 23914 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALV 3.7300 3.7278 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.6000 0.5987 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.6000 0.5987 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.6000 0.5987 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 15946 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.7300 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00469 AGUA BIDESTILADA 250 ML SI IM IV 5.7900 5.7880 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00817 ALGODAO HIDROFILO BOLINHA UN 0.5356 0.5632 -0.0532 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1779 0.0121 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27316 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.7037 -0.0037 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27316 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.7037 -0.0037 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27316 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.7037 -0.0037 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 13757 IODOPOVIDONA SD TP ML 0.4000 0.4000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 13757 IODOPOVIDONA SD TP ML 0.4000 0.4000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 28959 DERSANI LC TP ML 9.7000 10.6700 -0.9700 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 28959 DERSANI LC TP ML 9.7000 10.6700 -0.9700 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 28959 DERSANI LC TP ML 29.1000 29.1000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 29580 FRASCO P/NUTRIÇAO ENTERAL 300 LACRE 2.4700 2.4723 -0.0023 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 29580 FRASCO P/NUTRIÇAO ENTERAL 300 LACRE 2.4700 2.4723 -0.0023 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4055 0.0045 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4055 0.0045 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4055 0.0045 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4055 0.0045 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4055 0.0045 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19135 SERINGA DESC 03 ML UN 0.1500 0.1500 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 30015 ACIDO ACETILSALICILICO 100 MG CP V 0.1400 0.1400 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19143 SERINGA DESC 05 ML UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19143 SERINGA DESC 05 ML UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19143 SERINGA DESC 05 ML UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19143 SERINGA DESC 05 ML UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19143 SERINGA DESC 05 ML UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 29661 NOREPINEFRINA 2 MG/ML 4 ML SI IV A 37.9900 37.9856 0.0044 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 21261 TEICOPLANINA 400 MG + DIL. 3 ML PO 362.7200 362.7183 0.0017 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1813 -0.0013 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1813 -0.0013 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1813 -0.0013 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1813 -0.0013 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1813 -0.0013 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1813 -0.0013 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1813 0.0087 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1813 0.0087 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1813 0.0087 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.3800 0.3844 -0.0044 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11363 ESCOPOLAMINA 20 MG/ML 1 ML SI IM I 1.0200 1.0239 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11363 ESCOPOLAMINA 20 MG/ML 1 ML SI IM I 1.0200 1.0239 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11363 ESCOPOLAMINA 20 MG/ML 1 ML SI IM I 1.0200 1.0239 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11363 ESCOPOLAMINA 20 MG/ML 1 ML SI IM I 1.0200 1.0239 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11363 ESCOPOLAMINA 20 MG/ML 1 ML SI IM I 1.0200 1.0239 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 20559 SORO FISIOLOGICO 0,9% 250 ML SI IV 3.9400 3.9447 -0.0047 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33219 LUVA DE PROCEDIMENTO UNIDADE UN 1.6900 1.6650 0.0250 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33219 LUVA DE PROCEDIMENTO UNIDADE UN 1.6900 1.6650 0.0250 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33219 LUVA DE PROCEDIMENTO UNIDADE UN 1.6900 1.6650 0.0250 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 14087 METRONIDAZOL 500 MG 100 ML SI IV B 7.0800 7.0809 -0.0009 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 14087 METRONIDAZOL 500 MG 100 ML SI IV B 7.0800 7.0809 -0.0009 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 14087 METRONIDAZOL 500 MG 100 ML SI IV B 7.0800 7.0809 -0.0009 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 09636 FLORATIL (SACCHAROMYCES BOULARDII) 4.4400 4.4429 -0.0029 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 09636 FLORATIL (SACCHAROMYCES BOULARDII) 13.3300 13.3287 0.0013 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 31585 RANITIDINA 25 MG/ML 2 ML SI IV IM 0.9300 0.9337 -0.0037 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 31585 RANITIDINA 25 MG/ML 2 ML SI IV IM 1.8700 1.8674 0.0026 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 57495 FILTRO BARREIRA E REGENERADOR DE CA 24.0000 24.0000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19151 SERINGA DESC 10 ML UN 0.3300 0.3331 -0.0031 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19151 SERINGA DESC 10 ML UN 0.3300 0.3331 -0.0031 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.4800 0.4808 -0.0008 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.4800 0.4808 -0.0008 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 3.8500 3.8464 0.0036 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 37761 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0600 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 1.5900 1.5884 0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27316 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.7037 -0.0037 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27316 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.7037 -0.0037 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 34487 MEROPENEM 1G PO IV FA 154.3800 154.3807 -0.0007 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 34487 MEROPENEM 1G PO IV FA 154.3800 154.3807 -0.0007 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 34487 MEROPENEM 1G PO IV FA 154.3800 154.3807 -0.0007 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 34487 MEROPENEM 1G PO IV FA 154.3800 154.3807 -0.0007 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 29580 FRASCO P/NUTRIÇAO ENTERAL 300 LACRE 2.4700 2.4723 -0.0023 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12190351843 00090 SERINGA DESC 20 ML UN 0.5400 0.5320 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5922 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51584 ESPARADRAPO MICROPORE 0.2700 0.2640 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.8900 0.8900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321471846 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4046 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321471846 00097 ABOCATH N 14 A 22 UN 3.7700 3.7700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321471846 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7840 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a2cb1d00214ab61900fac49444b1672c CARMEM NULL NULL 12297674446 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2520 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a2cb1d00214ab61900fac49444b1672c CARMEM NULL NULL 12297674446 52216 GLICOSE 50% 20 ML SI IV AP 2.1400 2.1400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a2cb1d00214ab61900fac49444b1672c CARMEM NULL NULL 12297674446 52216 GLICOSE 50% 20 ML SI IV AP 2.1400 2.1312 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 52386 CLORETO DE SODIO 20% 10 ML SI IV AP 0.5500 0.5458 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 00090 SERINGA DESC 20 ML UN 0.5400 0.5320 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9456 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12234060246 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12234060246 00095 ABOCATH N 14 A 22 UN 3.7700 3.7624 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 20.9900 20.9900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 51039 CITALOPRAN 20 MG CP VO UN 2.9000 2.9020 -0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 5.8400 5.8320 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 51584 ESPARADRAPO MICROPORE 0.2600 0.2600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 2.6330 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 01313 MIDAZOLAM 1 MG/ML 5 ML SI IV AP 6.4500 6.4480 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 52956 FIO MONONYLON 0 C/ AGULHA 2,0 3/8 14505T UN UN 7.4600 7.4600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 01582 EPINEFRINA 1 MG/ML 1 ML SI IM IV SC AP 0.4900 0.4895 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6889 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7840 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 20.9900 20.9900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2fd28f5aa76be7aa2072537d0ba85951 ELAINE NULL NULL 12255258142 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7781a83504beb0f6fc1c86041782e8a1 ELODY NULL NULL 12320802443 52386 CLORETO DE SODIO 20% 10 ML SI IV AP 0.5500 0.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00037 AGULHA DESC 30 X 7 - 40X12 UN 2.2100 1.3386 0.8714 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 21261 TEICOPLANINA 400 MG + DIL. 3 ML PO 362.7200 362.7183 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51616 ANLODIPINO 10 MG CP VO UN 0.7100 0.7100 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.4100 0.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 56650 DIETA HIPERCALORICA HIPERPROTEICA S 85.0706 85.1440 -11.7440 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 56650 DIETA HIPERCALORICA HIPERPROTEICA S 85.0706 85.1440 -11.7440 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 27308 FIO MONOCRYL 5-0 C /AGULHA 1,65 45 0.0000 44.2588 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9c457292aaeaf9fb2625e0716629becd ISABELLA NULL NULL 12263855845 00128 LUVA DE PROCEDIMENTO UNIDADE UN 3.3300 3.3290 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00097 ABOCATH N 14 A 22 UN 3.7700 3.7624 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 01583 NEOSTIGMINA 0,5 MG/ML 1 ML SI IM IV SC AP 0.7700 0.7645 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.9980 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 00096 ABOCATH N 14 A 22 UN 3.7700 3.7624 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.6000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.6000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.6000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 5.8400 5.8400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 5.8400 5.8400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0300 0.0264 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00128 LUVA DE PROCEDIMENTO UNIDADE UN 11.6900 5.6610 6.0290 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00919 ALGODAO HIDROFILO BOLINHA UN 0.2800 0.2816 -0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 1.9600 1.1275 0.0125 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 1.9600 1.1275 0.0125 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51230 AGULHA DESC 30 X 7 - 40X12 UN 3.1290 1.7700 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00097 ABOCATH N 14 A 22 UN 3.7700 3.7700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 51584 ESPARADRAPO MICROPORE 0.2600 0.2600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 4.1200 4.1200 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 03280 CLOREXIDINA 2 % ST TP ML 0.6248 0.2855 0.3145 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bfe0dce5ba78a927b1ddf0f5d8bcfddc JOSE NULL NULL 12263204342 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bfe0dce5ba78a927b1ddf0f5d8bcfddc JOSE NULL NULL 12263204342 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3600 0.3600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 26999 GANCICLOVIR 500 MG + DIL. PO IV F 151.0400 151.0374 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 013b155943183fa582252ca154e5569f JUVELINA NULL NULL 12165747648 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.6700 0.6686 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 013b155943183fa582252ca154e5569f JUVELINA NULL NULL 12165747648 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 1.5400 1.5340 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1710 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51379 SERINGA DESC 05 ML UN 3.6981 1.4127 1.3773 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51241 AGULHA 123X45 1.7889 1.2108 0.0592 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 1.7953 0.7937 0.4063 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 2.0953 0.9921 0.5079 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 3.1591 1.6536 0.9764 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0100 0.6758 0.3342 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0100 0.6758 0.3342 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6800 1.1263 0.5537 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 20.9900 20.9900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5868 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 00174 Soro Ringer C/ Lactato Bolsa C/ 500ml 15.8300 15.8300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6889 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7860 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5484 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.4000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.4000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.6000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 00069 SERINGA DESC 10 ML UN 0.3300 0.3293 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 51457 LIDOCAINA 2% S/ VASO SI PE SC ML 0.2100 0.2095 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 57355 ESCITALOPRAM 10 MG CP VO UN 1.5900 1.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.2600 0.2600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 1.0200 1.0154 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 41.9800 41.9800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 41.9800 41.9710 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 51208 SORO RINGER SIMPLES 500 ML SI IV BS 17.8100 17.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 01603 GLICOSE 50% 10 ML SI IV AP 2.1900 2.1900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.3900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 56650 DIETA HIPERCALORICA HIPERPROTEICA S 68.2600 68.2600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 21261 TEICOPLANINA 400 MG + DIL. 3 ML PO 362.7200 362.7200 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 21261 TEICOPLANINA 400 MG + DIL. 3 ML PO 362.7200 362.7149 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51584 ESPARADRAPO MICROPORE 0.2700 0.2560 0.0140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51584 ESPARADRAPO MICROPORE 0.2700 0.2560 0.0140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51584 ESPARADRAPO MICROPORE 0.2700 0.2560 0.0140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5460 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00407 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.8800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dc0262e6d5010acfe6a18c66d0d30ed3 OSMIDA NULL NULL 12264720947 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5804 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dc0262e6d5010acfe6a18c66d0d30ed3 OSMIDA NULL NULL 12264720947 51584 ESPARADRAPO MICROPORE 0.7700 0.7700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5476 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 52386 CLORETO DE SODIO 20% 10 ML SI IV AP 1.1000 1.0916 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.2477 0.2723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4028 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 54294 ZOLPIDEM 10 MG CP 1.2800 1.2788 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f46c55d85311b267c39a3c36a11c1704 WILSON NULL NULL 12288777248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4046 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f46c55d85311b267c39a3c36a11c1704 WILSON NULL NULL 12288777248 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51475 FUMARATO DE QUETIAPINA 25 MG CA VO UN 1.2500 1.2500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 1.3800 0.0000 1.3800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00919 ALGODAO HIDROFILO BOLINHA UN 0.3712 0.3328 -0.0128 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51434 BECLOMETASONA 400 MCG / ML 2 ML SL IN FL 4.4800 4.4800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51434 BECLOMETASONA 400 MCG / ML 2 ML SL IN FL 1.4800 1.4797 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 34584 CAPTOPRIL 50 MG CP VO UN 0.1600 0.1586 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.5120 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4409 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51475 FUMARATO DE QUETIAPINA 25 MG CA VO UN 1.2500 1.2442 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1224 0.1476 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 34614 ATORVASTATINA CALCICA 10 MG CP VO 1.4900 1.4900 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 34614 ATORVASTATINA CALCICA 10 MG CP VO 1.4900 1.4900 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 34614 ATORVASTATINA CALCICA 10 MG CP VO 1.4900 1.4900 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 04242 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 14.4000 14.4000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 22756 LIDOCAINA 2% S/ VASO SI PE ML 0.4700 0.4692 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.6900 0.5286 0.1614 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.2000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 54294 ZOLPIDEM 10 MG CP 1.2800 1.2800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 54294 ZOLPIDEM 10 MG CP 1.2800 1.2800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 32891 EQUIPO POLIFIX 2ş VIAS UN 2.5500 2.5492 0.0008 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 32891 EQUIPO POLIFIX 2ş VIAS UN 5.1000 5.0984 0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 1.5900 1.5884 0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 08648 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.4000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 15010023 Hemodiálise (Por Sessão) NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51439 MEROPENEM 1G PO IV FA NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51439 MEROPENEM 1G PO IV FA NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51673 ALGINATO DE CALCIO EM HIDROGEL GL TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00706 METRONIDAZOL 500 MG 100 ML SI IV BS NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00706 METRONIDAZOL 500 MG 100 ML SI IV BS NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 03280 CLOREXIDINA 2 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 03280 CLOREXIDINA 2 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 03280 CLOREXIDINA 2 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 16961 CLOPIDOGREL 75 MG CP VO UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 16961 CLOPIDOGREL 75 MG CP VO UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00211 ESCOPOLAMINA 20 MG/ML 1 ML SI IM IV SC AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00564 ATROPINA 0,25 MG SI IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0360 0.0640 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0260 0.0740 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0260 0.0740 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0260 0.0740 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51378 SERINGA DESC 03 ML UN 0.1500 0.0390 0.1110 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51241 AGULHA 123X45 0.1900 0.0500 0.1400 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 36731 Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) 0.0000 16.0000 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 40010031 Troca Valvar Única Valvoplastia 0.0000 272.0726 NULL COBRANCA DE HONORARIOS EM DUPLICIDADE 2607
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 04242 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 0.0000 3.2509 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.0000 0.9609 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.3567 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.7224 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.7224 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.7224 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.7224 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.7224 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.7224 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 1.0792 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51240 FITA ADVANTAGE P/ GLICOSE UN 0.0000 2.5870 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51240 FITA ADVANTAGE P/ GLICOSE UN 0.0000 2.5870 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51240 FITA ADVANTAGE P/ GLICOSE UN 0.0000 2.5870 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51508 ENCRISE (ARGIPRESSINA) 20 U/ML 1 ML SI IM IV SC AP 0.0000 40.2400 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51508 ENCRISE (ARGIPRESSINA) 20 U/ML 1 ML SI IM IV SC AP 0.0000 40.2400 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51514 ATORVASTATINA CALCICA 40 MG CP VO UN 0.0000 2.4700 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1055123 61fd80435c4278b11d9c8303654f21e8 JOAQUIM NULL NULL 12206898835 50644 MORFINA 10 MG/ML 1 ML SI IM IV PE 0.0000 2.6390 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 61fd80435c4278b11d9c8303654f21e8 JOAQUIM NULL NULL 12206898835 33120 TENOXICAM 20 MG + DIL. 2 ML PO IM 0.0000 14.3258 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 61fd80435c4278b11d9c8303654f21e8 JOAQUIM NULL NULL 12206898835 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 61fd80435c4278b11d9c8303654f21e8 JOAQUIM NULL NULL 12206898835 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4064 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2768 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 93ab10613d6a84b2e98ec68d66f5f061 LEOVEGILDO NULL NULL 12184124349 999999 DESPESAS HOSPITALARES DIVERSAS 0.0000 0.0000 NULL PROCEDIMENTO MULTIPLO COM PROCEDIME 0413
Glosa Min 2018-04-15 00:00:00.000000 1056380 4a09a922b258fac6f1e8160699bec80d ROMUALDO NULL NULL 12308843211 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 0.0000 NULL GUIA DE CONSULTA NAO EXECUTADA 0622
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 30376 BROMETO DE IPRATROPIO 0,25MG/ML SL 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 53880 FIO ACIFLEX 2-0 S/ AG BSS - 28T EV 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 cfec8246cb6dd6b0209430096d4acc2e ZILDA NULL NULL 12216841040 33227 LUVA CIRURGICA UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 22748 LIDOCAINA 2% GE TP OU GR 0.0000 1.2970 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 57495 FILTRO BARREIRA E REGENERADOR DE CA 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 17906 PROTAMINA 1000 UI/ML 5 ML SI IV AP 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 56928 MODULO DE PROTEINAS DO SORO DO LEIT 0.0000 6.6000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 25030019 DISTURBIOS CIRCULATORIOS ARTERIO VE 0.0000 80.2424 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 25040014 ASSISTENCIA FISIATRICA RESPIRATORIA 0.0000 61.4100 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 0b0d528834878a853de575d6fda99575 ANDRE NULL NULL 12276785149 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 25040014 ASSISTENCIA FISIATRICA RESPIRATORIA 0.0000 49.1280 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6600 0.3400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00069 SERINGA DESC 10 ML UN 0.6700 0.6681 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.2100 0.2078 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1200 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1100 0.1500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1763 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1763 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00090 SERINGA DESC 20 ML UN 0.5400 0.5130 0.0270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00090 SERINGA DESC 20 ML UN 0.5400 0.5130 0.0270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00090 SERINGA DESC 20 ML UN 0.5400 0.5130 0.0270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.0300 0.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1750 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2710 0.0590 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2710 0.0590 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2710 0.0590 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2710 0.0590 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.3720 0.2980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.3720 0.2980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.3720 0.2980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0350 0.1450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0350 0.1450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0350 0.1450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.7890 0.8810 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2450 0.0550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2450 0.0550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 0.9820 0.2180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 1.7900 1.1940 0.5960 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.2721 1.1379 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.2721 1.1379 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5370 0.4630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.8970 0.7730 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1069 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4635 0.0165 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4628 0.0172 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4628 0.0172 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.9256 0.0344 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 2.8800 2.7768 0.1032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 25030019 Distúrbios Circulatórios Artério - Venosos e Linfáticos 22.9200 6.5500 16.3700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 25030019 Distúrbios Circulatórios Artério - Venosos e Linfáticos 22.9200 6.5500 16.3700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.6155 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 0.9559 1.5941 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 0.9559 1.5941 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.3176 1.2724 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.3176 1.2724 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 02355 AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML 36.4700 36.4650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 02355 AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML 36.4700 36.4650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 15010023 Hemodiálise (Por Sessão) NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 000441 TAXA DE DELEUCOTIZAÇÃO NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 000445 TAXA DE TRANSPORTE E INSTALACAO DE EQUIPAMENTO DE NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 0.0000 1.5900 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 0.0000 14.8724 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 0.0000 81.1100 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 0.0000 3.0894 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 0.0000 3.0894 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 01656 DIAZEPAM 5 MG/ML 2 ML SI IM IV AP 0.0000 0.3900 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00170 SORO GLICOSADO 5% 250 ML SI IV BS 0.0000 6.1517 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 03280 CLOREXIDINA 2 % ST TP ML 0.0000 0.4540 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.0000 1.4508 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.0000 0.5882 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0000 0.2900 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0000 0.5800 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0000 0.5700 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51514 ATORVASTATINA CALCICA 40 MG CP VO UN 0.0000 2.4700 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51584 ESPARADRAPO MICROPORE 0.0000 0.2600 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51584 ESPARADRAPO MICROPORE 0.0000 0.2600 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 2.5400 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51589 ESPARADRAPO 10 X 4.5 CM CM 0.0000 0.4000 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 52769 FIO MONONYLON 4-0 C/ AGULHA 2,4 3/8 1129T EV 0.0000 6.1596 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 53028 FIO MARCA PASSO E.P15/MP.285 UN 0.0000 43.8600 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 53385 PROTESE VALVULAR BIOLOGICA 0.0000 0.0000 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 54687 IODOPOVIDONA SD TP ML 0.0000 0.5100 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00651 GENTAMICINA 80 MG 2 ML SI IQ IM IV OU AP 0.0000 1.2500 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3028 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3028 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3028 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3028 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 07836 MONOCRYL Plastica 0.0000 44.2600 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5300 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5300 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5300 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5300 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 1.0400 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00919 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.2550 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00943 EQUIPO POLIFIX 2 VIAS UN 0.0000 3.8238 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1056380 afb55c8be5f6cc50fb22f7a5aa0cd72f JACQUELINE NULL NULL 12227411010 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 0.0000 NULL GUIA DE CONSULTA NAO EXECUTADA 0622
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 19119 SERINGA DESC 01 ML (INSULINA) UN 0.0000 0.3074 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254419131 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 20.2784 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d4dbfd05ca467c79165606fc7735e38f MARIA NULL NULL 12312451147 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 18716 RISPERIDONA 1 MG CP VO UN 0.0000 0.9990 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12217705730 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12183280231 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 31550 PREDNISONA 5 MG CP VO UN 0.3600 0.3570 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 93ab10613d6a84b2e98ec68d66f5f061 LEOVEGILDO NULL NULL 12184124349 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 93ab10613d6a84b2e98ec68d66f5f061 LEOVEGILDO NULL NULL 12184124349 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 93ab10613d6a84b2e98ec68d66f5f061 LEOVEGILDO NULL NULL 12184124349 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 93ab10613d6a84b2e98ec68d66f5f061 LEOVEGILDO NULL NULL 12184124349 20010010 Eletrocardiograma - Ecg 16.5300 8.2700 8.2600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c4ded5870d9f9e4fcca132088e427e19 JOSE NULL NULL 12255378848 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.2680 0.4020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4085 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4085 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4085 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4085 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4085 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00169 SORO GLICOSADO 5% 500 ML SI IV BS 20.7600 20.7511 0.0089 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.6853 0.2747 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.6853 0.2747 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.6853 0.2747 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.6853 0.2747 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1885 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12254218741 51584 ESPARADRAPO MICROPORE 0.2600 0.2580 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12254218741 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5990 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12254218741 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dee5a0d03c4673fe8898c0a0fff00916 ANA NULL NULL 12276505648 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.4080 0.1020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5350 0.4650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.8940 0.7760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1069 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8162 0.0038 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 55019 CATETER BALAO P/ ANGIOPLASTIA CORONARIA 1840.0000 1314.2800 525.7200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0930 0.0070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.3690 0.1410 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.3690 0.1410 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4157 0.1743 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.6400 0.5951 0.0449 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00090 SERINGA DESC 20 ML UN 0.5400 0.4900 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00090 SERINGA DESC 20 ML UN 0.5400 0.4900 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2210 0.0790 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2760 0.1240 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2760 0.1240 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.8551 0.0749 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.8551 0.0749 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51163 AGUA BIDESTILADA 250 ML 5.7900 3.8600 1.9300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 000501 OXIGENIO 1.4800 1.2020 0.2780 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 000501 OXIGENIO 71.4200 57.9230 13.4970 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.6155 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6190 0.3810 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6190 0.3810 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6190 0.3810 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00097 ABOCATH N 14 A 22 UN 3.7700 3.7673 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00098 ABOCATH N 14 A 22 UN 3.7700 3.7673 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1100 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1100 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1100 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.3203 0.9597 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 51584 ESPARADRAPO MICROPORE 0.2600 0.2580 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7412 0.0688 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 bcaf52a172d225b74745a133f1a88ade MARIANA NULL NULL 12267218032 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222597035 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.0000 0.8078 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234617838 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234617838 19151 SERINGA DESC 10 ML UN 0.0000 0.6662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12254155740 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12254155740 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12219054932 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6cc91d0bae7ee80faf1515c3c1bc4604 OLGA NULL NULL 12241643640 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6cc91d0bae7ee80faf1515c3c1bc4604 OLGA NULL NULL 12241643640 19143 SERINGA DESC 05 ML UN 0.0000 0.5766 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235281439 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.0000 0.2050 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 268049a93bd6b26b4f5b79b2e6ede297 SALVINA NULL NULL 12187025148 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 33685 LEVOFLOXACINO 500 MG CP VO UN 0.0000 5.2190 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 49093 AGULHA P/ RAQUI 25G X 3,5 UN 0.0000 13.2584 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 b85c60141d4de3f2910457b0ff9b4eb5 SIMONE NULL NULL 12238458533 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 753c84e1fe71f9a70b9b36d18828ba40 SUZANE NULL NULL 12297996332 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.0000 0.8078 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 753c84e1fe71f9a70b9b36d18828ba40 SUZANE NULL NULL 12297996332 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 72c33ead971af5baf1eca656499a45a0 TEREZA NULL NULL 12184732933 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 72c33ead971af5baf1eca656499a45a0 TEREZA NULL NULL 12184732933 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 72c33ead971af5baf1eca656499a45a0 TEREZA NULL NULL 12184732933 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12269071038 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12269071038 15210 NORIPURUM EV 20 MG/ML 5 ML SI IV 0.0000 9.4080 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.1171 0.4729 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 51241 AGULHA 123X45 0.1900 0.0106 0.1794 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1810 0.1190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1770 0.1230 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 04938 LOSARTANA 50 MG CP VO UN 1.3300 1.0700 0.2600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.3850 0.6150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.6430 1.0270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.2600 0.2569 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.6155 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.6155 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00541 AMIODARONA 200 MG CP VO UN 0.8400 0.6600 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 01400 ALPRAZOLAM 0,5 MG CP VO UN 0.9400 0.7700 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00991 ESPIRONOLACTONA 25 MG CP VO UN 0.4800 0.3800 0.1000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 3.5508 0.3892 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 3.5502 0.3898 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dc0262e6d5010acfe6a18c66d0d30ed3 OSMIDA NULL NULL 12264720947 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.3203 0.9597 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dc0262e6d5010acfe6a18c66d0d30ed3 OSMIDA NULL NULL 12264720947 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.7400 0.9300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dc0262e6d5010acfe6a18c66d0d30ed3 OSMIDA NULL NULL 12264720947 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.7400 0.9300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00124 LUVA CIRURGICA UN 1.4500 0.3952 1.0548 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5000 0.5000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00069 SERINGA DESC 10 ML UN 0.3300 0.2437 0.0863 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.1400 0.2600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 bcaf52a172d225b74745a133f1a88ade MARIANA NULL NULL 12267191019 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 6c1b0dc30f01fa6a203313c8e49e56d1 MARIO NULL NULL 12270524619 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 5ea6a6002c8e83f6d421220320b9a7dd MARLENE NULL NULL 12308932213 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 4cb90545c463bbceac17b9e2b3ad129b MARTA NULL NULL 12330110610 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 448b0502e59a7d5866b47b20dbb6c209 OSCAR NULL NULL 12278933812 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 07724917b5d40fffbf7ad081d9c8d8a1 PEDRO NULL NULL 12276567515 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 de10d5d4acd898d8ba1f4751ca36663b PERCIL NULL NULL 12318231919 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 8c9ac91636a34b362c1fc481713213b3 RAFAEL NULL NULL 12277498619 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 fa638ada47219e0be3006c13639bdd38 RODRIGO NULL NULL 12309235211 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 0a4e6acd54436749555ad0d76d5be7eb SARAH NULL NULL 12270717811 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 1839a97d370fa3dd71db825591f2d4f4 SUELI NULL NULL 12263377219 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 f46c55d85311b267c39a3c36a11c1704 WILSON NULL NULL 12288772911 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 4d5f633dc015b79ba2b1c085c26378a0 ZELIA NULL NULL 12341695710 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 4d5f633dc015b79ba2b1c085c26378a0 ZELIA NULL NULL 12259537011 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 59089377bef2b589e3bcae928acbb062 ZILDA NULL NULL 12288769818 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8c6a67a46a9b7171eab5ccc5499b0d9d ANELITA NULL NULL 12255137334 57908 SORO RINGER COM LACTATO 500 ML SI 0.0000 5.2778 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 20575 SORO FISIOLOGICO 0,9% 1000 ML SI I 0.0000 5.8390 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 55344 REMIFENTANIL 2 MG PO IV ML 0.0000 2.3995 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12234060246 22756 LIDOCAINA 2% S/ VASO SI PE ML 0.0000 0.4696 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 32905 EQUIPO POLIFIX 4ş VIAS UN 0.0000 5.0984 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 34010130 TOMOGRAFIA COMPUTADORIZADA DO TORAX 0.0000 280.6875 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51314 ZOLPIDEM 10 MG CP VO UN 0.0000 1.2796 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8b09750a6d2390cf2ffd5dd76799599a IVON NULL NULL 12292121344 19151 SERINGA DESC 10 ML UN 0.0000 0.6662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0f992b408cbd27a95de887ea229c0b26 JORGINA NULL NULL 12321704643 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0f992b408cbd27a95de887ea229c0b26 JORGINA NULL NULL 12321704643 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0f992b408cbd27a95de887ea229c0b26 JORGINA NULL NULL 12321704643 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248313941 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.7980 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320508342 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320508342 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320508342 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5440 0.4560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320508342 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.2800 0.2300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.2600 0.2070 0.0530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.2600 0.2070 0.0530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.2600 0.2070 0.0530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.2600 0.2070 0.0530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.5100 0.4070 0.1030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7963 0.1637 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7963 0.1637 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0130 0.0170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1570 0.2430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1570 0.2430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.3039 0.5761 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.3035 0.5765 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.7621 1.1779 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00704 MEROPENEM 1G PO IV FA 154.3800 77.1903 77.1897 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51662 Simeticona frasco c/15 ml 1.0500 0.9600 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51662 Simeticona frasco c/15 ml 1.0500 0.9600 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51662 Simeticona frasco c/15 ml 1.0500 0.9500 0.1000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 10.6300 2.9000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 02246 HIDROCORTISONA 100 MG PO IM IV FA 5.6700 2.1691 3.5009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 02246 HIDROCORTISONA 100 MG PO IM IV FA 8.5000 3.2517 5.2483 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 02246 HIDROCORTISONA 100 MG PO IM IV FA 8.5000 3.2517 5.2483 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 02246 HIDROCORTISONA 100 MG PO IM IV FA 8.5000 3.2517 5.2483 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00124 LUVA CIRURGICA UN 1.4500 1.2080 0.2420 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 4.2357 0.9443 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00031 AGULHA DESC 13 X 45 UN 0.3800 0.1573 0.2227 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0600 0.0430 0.0170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 51584 ESPARADRAPO MICROPORE 0.7700 0.0047 0.7653 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1286 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 52.2500 52.2472 0.0028 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 2.9732 0.4268 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 37025 PROPOFOL 1% SI IV ML 20.0000 15.0000 5.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0500 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00348 DIPIRONA 500 MG CP VO UN 0.5400 0.4200 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00348 DIPIRONA 500 MG CP VO UN 0.5400 0.4200 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00348 DIPIRONA 500 MG CP VO UN 1.0900 0.8400 0.2500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 000501 OXIGENIO 68.4400 54.7220 13.7180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8095 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8095 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8095 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3100 0.3040 0.0060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2500 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6940 0.3060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 00097 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 00098 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.4586 1.1514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.3520 0.2380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00090 SERINGA DESC 20 ML UN 0.5400 0.1630 0.3770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00090 SERINGA DESC 20 ML UN 0.5400 0.1560 0.3840 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00090 SERINGA DESC 20 ML UN 0.5400 0.1560 0.3840 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51241 AGULHA 123X45 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51241 AGULHA 123X45 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3010 0.0990 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51584 ESPARADRAPO MICROPORE 0.2600 0.1730 0.0870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00555 LAMINA BISTURI N 10, 11,12 E 15 UN 0.5500 0.2755 0.2745 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2199 0.1801 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.4453 0.3647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.4453 0.3647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51163 AGUA BIDESTILADA 250 ML 5.7900 4.6300 1.1600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 27042 CLOREXIDINA 2 % ST TP ML DEGERMANTE 0.5300 0.3990 0.1310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0f992b408cbd27a95de887ea229c0b26 JORGINA NULL NULL 12321704643 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7100 0.2900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0f992b408cbd27a95de887ea229c0b26 JORGINA NULL NULL 12321704643 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7100 0.2900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0f992b408cbd27a95de887ea229c0b26 JORGINA NULL NULL 12321704643 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51660 BROMETO DE IPRATROPIO SL IN GT 3.2000 0.5500 2.6500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51660 BROMETO DE IPRATROPIO SL IN GT 3.2000 0.5400 2.6600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.7941 0.7959 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00069 SERINGA DESC 10 ML UN 0.3300 0.2629 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00069 SERINGA DESC 10 ML UN 0.3300 0.2629 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00069 SERINGA DESC 10 ML UN 0.3300 0.2629 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0600 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0600 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0600 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1200 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51378 SERINGA DESC 03 ML UN 0.1500 0.1200 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51378 SERINGA DESC 03 ML UN 0.1500 0.1100 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 1.2746 1.2754 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.5296 1.0604 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.5294 1.0606 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12190351843 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00069 SERINGA DESC 10 ML UN 0.3300 0.2533 0.0767 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0800 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0800 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8242 0.1358 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8242 0.1358 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 54687 IODOPOVIDONA SD TP ML 0.6000 0.3600 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00124 LUVA CIRURGICA UN 1.4500 1.2065 0.2435 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.1339 2.2761 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP 37.9900 37.9855 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5013 0.0887 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5013 0.0887 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5013 0.0887 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5013 0.0887 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5013 0.0887 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5013 0.0887 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.9330 0.0670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.7494 0.2506 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.7494 0.2506 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.3719 0.2181 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.3719 0.2181 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8370 0.1630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8320 0.1680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1380 0.3920 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00124 LUVA CIRURGICA UN 1.4500 0.6206 0.8294 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00124 LUVA CIRURGICA UN 1.4500 0.6206 0.8294 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00124 LUVA CIRURGICA UN 1.4500 0.6206 0.8294 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00125 LUVA CIRURGICA UN 4.3400 1.8575 2.4825 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2912 0.0188 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2912 0.0188 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2912 0.0188 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2912 0.0188 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4526 0.1374 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4524 0.1376 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4524 0.1376 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51240 FITA ADVANTAGE P/ GLICOSE UN 7.7600 7.3477 0.4123 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0409 0.0091 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0409 0.0091 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 0.7350 0.4650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 0.7350 0.4650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3330 0.0670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51584 ESPARADRAPO MICROPORE 0.2600 0.1970 0.0630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51584 ESPARADRAPO MICROPORE 0.2600 0.1970 0.0630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 2.1840 0.4560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 2.1840 0.4560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 2.1840 0.4560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 2.1840 0.4560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 13.6300 6.8123 6.8177 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.5000 0.2300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.4900 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2150 0.3150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4162 0.0638 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8253 0.1347 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8253 0.1347 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8253 0.1347 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8253 0.1347 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 2.5637 0.2663 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 2.5637 0.2663 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 166.9000 166.8985 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 13.2000 13.1950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 13.2000 13.1950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 52386 CLORETO DE SODIO 20% 10 ML SI IV AP 1.1000 1.0958 0.0042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 01603 GLICOSE 50% 10 ML SI IV AP 2.7400 2.7370 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2080 0.5220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2080 0.5220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0200 0.7800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0200 0.7800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0200 0.7800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0200 0.7800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51660 BROMETO DE IPRATROPIO SL IN GT 1.8000 0.0400 1.7600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51660 BROMETO DE IPRATROPIO SL IN GT 2.4000 0.0600 2.3400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 0.3800 0.3216 0.0584 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.9800 0.9700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.9800 0.9700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7800 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2435 0.0765 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.9737 0.3063 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 1.9119 0.6381 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0384 0.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5999 0.0001 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51163 AGUA BIDESTILADA 250 ML 5.7900 4.8200 0.9700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51163 AGUA BIDESTILADA 250 ML 5.7900 4.8200 0.9700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.5600 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.5600 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0170 0.0130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0120 0.0180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0250 0.0350 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0250 0.0350 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.6800 0.0000 0.6800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3690 0.1110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3690 0.1110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3690 0.1110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3690 0.1110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3690 0.1110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3690 0.1110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 09b825abc9ef518ba223f29f2bf7c07b WALDEMAR NULL NULL 12171249749 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 09b825abc9ef518ba223f29f2bf7c07b WALDEMAR NULL NULL 12171249749 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 09b825abc9ef518ba223f29f2bf7c07b WALDEMAR NULL NULL 12171249749 51475 FUMARATO DE QUETIAPINA 25 MG CA VO UN 1.2500 1.2471 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6000 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3130 0.0870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3073 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4027 0.1873 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4027 0.1873 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4027 0.1873 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0280 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0280 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3809 0.0191 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3809 0.0191 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 1.0800 1.0600 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 1.0800 1.0600 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 1.0800 1.0600 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 1.0800 1.0600 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1300 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1300 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.1900 0.1538 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.1900 0.1538 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.1900 0.1538 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.1900 0.1538 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.1900 0.1538 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.1900 0.1538 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.1900 0.1538 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.1700 0.1680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.3240 0.0060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00069 SERINGA DESC 10 ML UN 0.3300 0.1732 0.1568 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00069 SERINGA DESC 10 ML UN 0.3300 0.1732 0.1568 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00069 SERINGA DESC 10 ML UN 0.3300 0.1732 0.1568 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3230 0.0770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3230 0.0770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3230 0.0770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3230 0.0770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2810 0.2490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1470 0.0930 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1470 0.0930 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2600 0.2500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2200 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4200 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.9000 0.6300 0.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51584 ESPARADRAPO MICROPORE 0.2600 0.0700 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.1300 0.3800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 54653 DERSANI LC TP ML 19.4000 3.7300 15.6700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 54653 DERSANI LC TP ML 19.4000 3.7300 15.6700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 54653 DERSANI LC TP ML 19.4000 3.7300 15.6700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 54653 DERSANI LC TP ML 19.4000 3.7300 15.6700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2400 0.2900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2400 0.2900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 54687 IODOPOVIDONA SD TP ML 0.4000 0.1200 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.1415 0.5885 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7000 0.3000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9391 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 30813 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.3252 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00838 HIDRALAZINA 50 MG DG VO UN 0.3200 0.2600 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00838 HIDRALAZINA 50 MG DG VO UN 0.3200 0.0890 0.2310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 26999 GANCICLOVIR 500 MG + DIL. PO IV F 151.0400 151.0374 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 26999 GANCICLOVIR 500 MG + DIL. PO IV F 151.0400 151.0374 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 21261 TEICOPLANINA 400 MG + DIL. 3 ML PO 362.7200 362.7200 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6900 1.6400 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.5900 0.6235 -0.0335 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.7900 0.6235 0.1665 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 50644 MORFINA 10 MG/ML 1 ML SI IM IV PE 0.0000 2.6390 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 20370 SONDA URETRAL Nş 12 UN 0.7600 0.7558 0.0042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 20567 SORO FISIOLOGICO 0,9% 500 ML SI IV 9.4700 9.4690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.9000 0.9840 -0.0840 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00090 SERINGA DESC 20 ML UN 0.5400 0.1430 0.3970 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51620 Modulo Em Pó De Fibras Solúveis 2.4400 0.6480 1.7920 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51622 MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR 6.6000 1.7530 4.8470 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51622 MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR 6.6000 1.7530 4.8470 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 15010023 Hemodiálise (Por Sessão) NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 51590 ABAIXADOR DE LINGUA UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00919 ALGODAO HIDROFILO BOLINHA UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00919 ALGODAO HIDROFILO BOLINHA UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 51673 ALGINATO DE CALCIO EM HIDROGEL GL TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 51673 ALGINATO DE CALCIO EM HIDROGEL GL TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 51673 ALGINATO DE CALCIO EM HIDROGEL GL TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 51673 ALGINATO DE CALCIO EM HIDROGEL GL TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 51673 ALGINATO DE CALCIO EM HIDROGEL GL TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 25030019 DISTURBIOS CIRCULATORIOS ARTERIO VE 22.9200 0.0000 22.9200 NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 25040014 ASSISTENCIA FISIATRICA RESPIRATORIA 24.5600 0.0000 24.5600 NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 25040014 ASSISTENCIA FISIATRICA RESPIRATORIA 24.5600 0.0000 24.5600 NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00020010 Visita Hospitalar (Paciente Internado) NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 02461 FENOTEROL 2 MG/ML 10 ML AE IN DS 1.3600 0.0000 1.3600 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 51649 ALCOOL ETILICO 70 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 51673 ALGINATO DE CALCIO EM HIDROGEL GL TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 54685 POLVIDINE ALCOOLICA NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 54685 POLVIDINE ALCOOLICA NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 51622 MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00919 ALGODAO HIDROFILO BOLINHA UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 52941 Clorexidina Degermante 2% Fr30ml - Solução De Uso Tópico NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 201006 TAXA DE SALA PORTE V NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 51649 ALCOOL ETILICO 70 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 54687 IODOPOVIDONA SD TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 00938 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00123 LUVA CIRURGICA UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00094 ABOCATH N 14 A 22 UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00020010 Visita Hospitalar (Paciente Internado) NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.0000 0.1000 NULL COBRANCA DE TAXA DE OBSERVACAO EM PRONTO SOCORRO SEM O REGISTRO DA PERMANENCIA 2410
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 02203 OLEO MINERAL 100% SO VO ML 3.7600 3.5310 0.2290 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3883 0.0117 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3883 0.0117 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3883 0.0117 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3883 0.0117 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4089 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4089 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 635cd71723457924a301ac7a159d9b2b BATISTINA NULL NULL 12319870235 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 9ceb7aa1edd4c9013f25d82381a85fb1 BENEDITA NULL NULL 12229148433 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 11304 HIDROCORTISONA 500 MG PO IM IV FA 0.0000 6.3472 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12330307230 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8e33f9f53bac138de65049d2befe0f99 DELIO NULL NULL 12310009231 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320058937 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320058937 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320058937 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.2560 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 54d59bca98bdfc6e3183f3c58c8080a2 ELIABY NULL NULL 12325813637 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d1d2e0b986289681072cfb591ffd68af EUNICE NULL NULL 12325796035 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 55913 CISATRACURIO 10 MG 5 ML SI IV FR 0.0000 60.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 50644 MORFINA 10 MG/ML 1 ML SI IM IV PE 0.0000 2.6390 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 07510 MIDAZOLAM 1 MG/ML 5 ML SI IV AP 0.0000 6.4490 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 792c9785a1e3905ad1f4f4ddb78a9694 GERALDA NULL NULL 12321408539 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 792c9785a1e3905ad1f4f4ddb78a9694 GERALDA NULL NULL 12321408539 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 57908 SORO RINGER COM LACTATO 500 ML SI 0.0000 5.2778 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 0.0000 2.8794 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0921fd1fdec226a623f2a3e272f6d27c GRASSIELA NULL NULL 12248207537 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.0000 0.8078 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9c457292aaeaf9fb2625e0716629becd ISABELLA NULL NULL 12263855845 37680 FIO MONONYLON 0 C/ AGULHA 2,0 3/8 0.0000 7.4555 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9c457292aaeaf9fb2625e0716629becd ISABELLA NULL NULL 12263855845 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 05b1f0e1319ebc19385e39a443384241 JACOB NULL NULL 12274165832 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 679bafba1e46e48177b69c2d8cb34c73 JOANA NULL NULL 12332118930 12793 LAMINA BISTURI N 20, 22 E 24 UN 0.0000 0.6661 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 679bafba1e46e48177b69c2d8cb34c73 JOANA NULL NULL 12332118930 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.2560 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 80b48beb268563c3e97e343f59e1bb64 JOAO NULL NULL 12243320148 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 12235405732 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248305538 07390 DOBUTAMINA 250 MG 20 ML SI IV FR 0.0000 41.9770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248305538 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248305538 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0000 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0000 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0000 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0000 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0000 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00124 LUVA CIRURGICA UN 1.4500 1.4480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00124 LUVA CIRURGICA UN 4.3400 4.3340 0.0060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3073 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2550 0.2550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2550 0.2550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2550 0.2550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.3142 0.9658 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 18.3471 1.9329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2670 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2670 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2670 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5350 0.0650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5350 0.0650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5350 0.0650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5350 0.0650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2940 0.1060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2940 0.1060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2940 0.1060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 1.7000 0.0000 1.7000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 1.7000 0.0000 1.7000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 13.6200 0.0000 13.6200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 36731 Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) 38.4000 36.2600 2.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 03081 AMIODARONA 50 MG/ML 3ML SI IV AP 4.3900 4.3895 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 03081 AMIODARONA 50 MG/ML 3ML SI IV AP 13.1700 13.1687 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 03081 AMIODARONA 50 MG/ML 3ML SI IV AP 13.1700 13.1687 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d4dbfd05ca467c79165606fc7735e38f MARIA NULL NULL 12312451147 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.4890 0.1810 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9c457292aaeaf9fb2625e0716629becd ISABELLA NULL NULL 12263855845 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.5610 0.8490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2abb44c4a2ca59174467848d6678378d JESUINA NULL NULL 12266838249 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00090 SERINGA DESC 20 ML UN 1.0800 1.0700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5995 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321471846 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2580 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321471846 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321471846 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.7941 0.7959 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 1.1090 0.0910 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6300 0.3700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5800 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2761 0.0439 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2761 0.0439 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2761 0.0439 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2761 0.0439 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6070 0.3930 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6070 0.3930 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00069 SERINGA DESC 10 ML UN 1.6700 1.6677 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7230 0.2770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7230 0.2770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3020 0.0980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3020 0.0980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00493 BROMOPRIDA 5 MG/ML 2 ML SI IM IV AP 8.2000 8.1961 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 000501 OXIGENIO 3.7200 1.3400 2.3800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00090 SERINGA DESC 20 ML UN 1.0800 1.0700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6600 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6600 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 3.1800 2.4708 0.7092 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.1670 0.1630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2fd28f5aa76be7aa2072537d0ba85951 ELAINE NULL NULL 12255258142 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2fd28f5aa76be7aa2072537d0ba85951 ELAINE NULL NULL 12255258142 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a48e469abc716636c97d5b4032f77caa APARECIDA NULL NULL 12309719743 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 00124 LUVA CIRURGICA UN 2.9000 1.4474 1.4526 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0000 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.9600 0.0000 0.9600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3565 0.0435 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3565 0.0435 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7220 0.0880 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.3970 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 9b5312a9b62e67e053cee9fae99cb3ca MARIANA NULL NULL 12327329933 32190 CLORETO DE POTASSIO 10% 10 ML SI I 0.0000 0.2967 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 eff08749d885c5abdbd269091d7c9873 WILSON NULL NULL 12297485331 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 eff08749d885c5abdbd269091d7c9873 WILSON NULL NULL 12297485331 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 12262 ISOSSORBIDA 20 MG CP VO UN 0.2200 0.2158 0.0042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234617838 03280 CLOREXIDINA 2 % ST TP ML 0.0300 0.0293 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234617838 03280 CLOREXIDINA 2 % ST TP ML 0.2700 0.2633 0.0067 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00124 LUVA CIRURGICA UN 1.4500 0.0000 1.4500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5410 0.0590 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7200 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7200 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51584 ESPARADRAPO MICROPORE 0.2600 0.1990 0.0610 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51584 ESPARADRAPO MICROPORE 0.2600 0.1990 0.0610 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.3560 0.1740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.3540 0.1760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 000501 OXIGENIO 2.9700 2.1770 0.7930 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222597035 00111 ABOCATH N 14 A 22 UN 3.7700 3.7663 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12289578033 00111 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12289578033 00098 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 00124 LUVA CIRURGICA UN 1.4500 0.0000 1.4500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.1171 0.4729 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.0581 0.4219 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.0581 0.4219 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.9200 0.2327 1.6873 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51660 BROMETO DE IPRATROPIO SL IN GT 0.0200 0.0000 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 00111 ABOCATH N 14 A 22 UN 3.7700 2.5108 1.2592 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 00097 ABOCATH N 14 A 22 UN 3.7700 2.5108 1.2592 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12254155740 00919 ALGODAO HIDROFILO BOLINHA UN 0.1300 0.1290 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12254155740 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12254155740 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2150 0.2950 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5150 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5150 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5150 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5150 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5150 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5150 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51378 SERINGA DESC 03 ML UN 0.1500 0.1462 0.0038 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51378 SERINGA DESC 03 ML UN 0.1500 0.1460 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51378 SERINGA DESC 03 ML UN 0.1500 0.1460 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51378 SERINGA DESC 03 ML UN 0.1500 0.1460 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.5338 0.7462 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.5338 0.7462 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00090 SERINGA DESC 20 ML UN 0.5400 0.4780 0.0620 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00090 SERINGA DESC 20 ML UN 0.5400 0.4780 0.0620 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51379 SERINGA DESC 05 ML UN 0.1900 0.1774 0.0126 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51379 SERINGA DESC 05 ML UN 0.1900 0.1774 0.0126 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0600 0.0400 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3200 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3200 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3200 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.3900 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.3800 0.2900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.3800 0.2900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.1800 0.2200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.1800 0.2200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5149 0.0851 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5131 0.0869 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5131 0.0869 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5131 0.0869 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.3002 0.0998 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.3078 0.1022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.3078 0.1022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.3078 0.1022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.3078 0.1022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.3078 0.1022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.3078 0.1022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.3078 0.1022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.4786 0.9314 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2820 0.1180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2820 0.1180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.4400 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281439230 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 002e84540426cd384f5b22f477994999 STEPHANIE NULL NULL 12277394230 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 678dc839842340e927568125f89b2f2a HELIO NULL NULL 12336444836 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 678dc839842340e927568125f89b2f2a HELIO NULL NULL 12336444836 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8945839593ea1e2b2001473532c73738 KAYKY NULL NULL 12264467437 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8945839593ea1e2b2001473532c73738 KAYKY NULL NULL 12264467437 19160 SERINGA DESC 20 ML UN 0.0000 0.5380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 a1fdd21cd8fbd02e31350f0a5890f317 MARIA NULL NULL 12265559337 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 51c1cd7bf95e67c465e8eac45d6e828c JAQUELLINY NULL NULL 12254454032 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 51c1cd7bf95e67c465e8eac45d6e828c JAQUELLINY NULL NULL 12254454032 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12261773339 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281439230 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8945839593ea1e2b2001473532c73738 KAYKY NULL NULL 12264467437 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 8b7bf7712d6e4a41a32e467810dd482e ALICE NULL NULL 12342852414 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 f445393bd2834d988f2d39c926344220 ANA NULL NULL 12321714013 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 06da7e6171666c282a23b6bfaea34946 ANA NULL NULL 12311063517 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 a43f4cb8ae841334cbc8affc4686a07a BEATRIZ NULL NULL 12263469310 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 208c986132a3be91dda988dc95495541 CAIRO NULL NULL 12319078113 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 ebc895b45019bebdc164c91df771e94b CLEONICE NULL NULL 12321673814 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 1fe67b60ab6af48fda64ca2aefe44fe3 DALVACY NULL NULL 12336525012 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 7c234093a25370893c5fdddc5d5d944f DOROTY NULL NULL 12312532011 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 58d2a778c9976f80e691e7dcd326485d ENI NULL NULL 12309480316 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 7ae421d1d2a022f8fd95a9ff2b6204b2 EPITACIO NULL NULL 12252437014 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 d1d2e0b986289681072cfb591ffd68af EUNICE NULL NULL 12325793810 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 2d48865902bf26ebe450b21d9cc5181e HAYAO NULL NULL 12317609915 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 a7bb548f3353cba5fac1c27ef7fcd943 JACKSON NULL NULL 12285175819 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12309146013 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 b31485d7dfb777cf11b9c29050b33efb LINDOMAR NULL NULL 12276779419 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 dce938bc498be247a2320c302f45eb59 LUCAS NULL NULL 12323803112 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 8f0fdc238249bc20de2dc495fc398071 LUCIANO NULL NULL 12276779517 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254415713 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 0218c4f6fb729407e3eec97584d485b2 MARCIA NULL NULL 12255453719 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 92e6ef003a084646cc771615534eee70 MARIA NULL NULL 12343400312 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 5ba6ae9ca88b662fc86f4b7640f2d8fe MARIA NULL NULL 12320797316 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 12262 ISOSSORBIDA 20 MG CP VO UN 0.0000 0.2158 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 30155 ANLODIPINO 5 MG CP VO UN 0.0000 0.4752 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 25739 ELETRODO DESCARTAVEL (UTI) UN 0.0000 3.6892 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 53880 FIO ACIFLEX 2-0 S/ AG BSS - 28T EV 0.0000 6.3554 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 f685e09d052377a3e37cdc0156d85f6f LIA NULL NULL 12325737230 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00485 AGUA BIDESTILADA 500 ML SI IM IV 0.0000 6.4269 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 34010130 TOMOGRAFIA COMPUTADORIZADA DO TORAX 0.0000 280.6875 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 55107 MORFINA 0,2 MG 1 ML SI IV PE IT FR 0.0000 8.2890 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.0000 0.5987 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283876047 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9dbb8f82efe7a16aa84c856804bd479e SEBASTIAO NULL NULL 12228729249 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 31828 PREDNISONA 20 MG CP VO UN 0.7500 0.7480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 31828 PREDNISONA 20 MG CP VO UN 0.7500 0.7480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 21245 TIAMAZOL 5 MG CP VO UN 0.5000 0.4989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 09733 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 09733 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2459 0.0641 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2459 0.0641 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2459 0.0641 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1020 0.1580 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1020 0.1580 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00090 SERINGA DESC 20 ML UN 0.5400 0.2090 0.3310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 1.5296 1.0204 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00943 EQUIPO POLIFIX 2 VIAS UN 5.1000 3.0590 2.0410 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.0107 0.5793 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4800 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4800 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.2840 0.7160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.2840 0.7160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2500 0.1500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2500 0.1500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.2600 0.2170 0.0430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.0200 0.7100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.0200 0.7100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.0100 0.7200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.2700 0.1500 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7963 0.1637 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7963 0.1637 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7963 0.1637 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7963 0.1637 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7963 0.1637 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2590 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 51379 SERINGA DESC 05 ML UN 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.1360 2.2740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.1360 2.2740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.1360 2.2740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.1360 2.2740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1263 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9826 0.4274 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9821 0.4279 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 000501 OXIGENIO 339.2600 271.2610 67.9990 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8480 0.1520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8480 0.1520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3400 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3400 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3400 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.4400 1.0202 0.4198 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.9200 1.3603 0.5597 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3997 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8095 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51475 FUMARATO DE QUETIAPINA 25 MG CA VO UN 1.2500 1.2471 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 1.0200 0.0000 1.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2760 0.2040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2760 0.2040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2760 0.2040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2760 0.2040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2760 0.2040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5520 0.4080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 3.7500 2.1830 1.5670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 3.7500 2.1800 1.5700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 3.7500 2.1800 1.5700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 3.7500 2.1800 1.5700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 7.5000 4.3600 3.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 7.5000 4.3600 3.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 11.2600 6.5450 4.7150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2248 0.2552 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2243 0.2557 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 54687 IODOPOVIDONA SD TP ML 0.4000 0.1600 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 09070 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 09070 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00124 LUVA CIRURGICA UN 1.4500 0.4825 0.9675 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 51662 Simeticona frasco c/15 ml 1.2000 1.1400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 51662 Simeticona frasco c/15 ml 3.6000 3.4200 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.2707 0.3193 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5990 0.4010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00097 ABOCATH N 14 A 22 UN 3.7700 3.7667 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00098 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.8931 0.0369 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 54653 DERSANI LC TP ML 19.4000 3.9700 15.4300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.1719 0.5181 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00090 SERINGA DESC 20 ML UN 0.5400 0.5080 0.0320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00090 SERINGA DESC 20 ML UN 0.5400 0.5080 0.0320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00090 SERINGA DESC 20 ML UN 0.5400 0.5080 0.0320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51379 SERINGA DESC 05 ML UN 0.1900 0.0274 0.1626 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51379 SERINGA DESC 05 ML UN 0.1900 0.0274 0.1626 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.1430 0.5270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 1.1896 0.0904 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 16.8980 3.3820 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 16.8980 3.3820 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2100 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51584 ESPARADRAPO MICROPORE 0.2600 0.1540 0.1060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 1.1305 2.2695 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 1.1305 2.2695 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00069 SERINGA DESC 10 ML UN 0.3300 0.3190 0.0110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00069 SERINGA DESC 10 ML UN 0.3300 0.3190 0.0110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00069 SERINGA DESC 10 ML UN 0.3300 0.3190 0.0110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.4580 1.1520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00093 SERINGA DESC 60 ML UN 7.6800 3.8400 3.8400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 54653 DERSANI LC TP ML 19.4000 5.8200 13.5800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7836 0.0264 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248313941 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248313941 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 1.3300 1.1942 0.1358 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 5.6600 5.0825 0.5775 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.5354 1.0746 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2100 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2000 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 0.0000 2.5500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 0.0000 2.5500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1830 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1830 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1830 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1830 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1830 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1830 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.7485 0.1315 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.7485 0.1315 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 5.7600 5.4970 0.2630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.5096 1.4304 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 7.8900 5.0257 2.8643 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51662 Simeticona frasco c/15 ml 1.0500 1.0200 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51662 Simeticona frasco c/15 ml 1.0500 1.0200 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 27.0600 4.9200 22.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 54.1200 9.8400 44.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 54685 POLVIDINE ALCOOLICA 0.6000 0.4700 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6052 0.0848 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6052 0.0848 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6052 0.0848 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6052 0.0848 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0000 0.1000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 0.0000 3.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 0.0000 3.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00124 LUVA CIRURGICA UN 1.4500 1.4400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00124 LUVA CIRURGICA UN 1.4500 1.4400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5900 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5900 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5900 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51584 ESPARADRAPO MICROPORE 0.5100 0.4580 0.0520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51219 ALENIA 1.1700 0.1670 1.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5407 0.0593 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.0815 0.1185 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.0815 0.1185 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.0815 0.1185 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2709 0.1391 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4552 0.5048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0500 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6150 0.3850 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 25722 OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA 19.5800 19.5771 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 25722 OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA 19.5800 19.5771 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.9970 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6660 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 51584 ESPARADRAPO MICROPORE 0.2600 0.2570 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7630 0.0070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5654 0.0346 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5654 0.0346 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.5600 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 34010130 Tomografia Comp. do Tórax 280.6900 0.0000 280.6900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 34010130 Tomografia Comp. do Tórax 280.6900 0.0000 280.6900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 10952 HALOPERIDOL 5 MG/ML 1 ML SI IM IV 0.0000 5.5458 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00124 LUVA CIRURGICA UN 1.4500 1.3200 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00124 LUVA CIRURGICA UN 1.4500 1.3100 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00124 LUVA CIRURGICA UN 2.9000 2.6300 0.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00091 SERINGA DESC 01 ML (INSULINA) UN 1.2300 1.1977 0.0323 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51378 SERINGA DESC 03 ML UN 0.1500 0.0200 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00069 SERINGA DESC 10 ML UN 0.3300 0.1732 0.1568 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2700 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 40.5600 40.5567 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0300 0.0210 0.0090 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1930 0.1070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1930 0.1070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51584 ESPARADRAPO MICROPORE 0.2600 0.1730 0.0870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51584 ESPARADRAPO MICROPORE 0.2600 0.1730 0.0870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51584 ESPARADRAPO MICROPORE 0.5100 0.3400 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 2.7200 0.0000 2.7200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 2.7200 0.0000 2.7200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 2.7200 0.0000 2.7200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51164 AGUA BIDESTILADA 500 ML 6.4300 6.4260 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3230 0.0770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3230 0.0770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3230 0.0770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 30813 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.3252 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 30813 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.3252 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 30813 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.3252 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 27308 FIO MONOCRYL 5-0 C /AGULHA 1,65 45 0.0000 44.2588 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 34860 SULFAMETOXAZOL 400 MG + TRIMETOPRIM 0.3500 0.3480 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 27308 FIO MONOCRYL 5-0 C /AGULHA 1,65 45 0.0000 44.2588 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 14460 DOMPERIDONA 10 MG CP VO UN 0.3900 0.3900 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 27308 FIO MONOCRYL 5-0 C /AGULHA 1,65 45 0.0000 44.2588 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 63886 DIFENIDRAMINA 50mg/ml 1ml SI IM IV 14.2800 14.2752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 05274 AMOXICILINA 500 MG + CLAVULANATO 12 3.1700 3.1660 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 05274 AMOXICILINA 500 MG + CLAVULANATO 12 3.1700 3.1660 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02735 TARGOCID (TEICOPLANINA) 400 MG 3 ML PO IM IV FA 362.7200 181.3594 181.3606 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00881 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.2652 0.0648 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00881 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.2652 0.0648 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00881 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.2652 0.0648 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00838 HIDRALAZINA 50 MG DG VO UN 0.3200 0.2600 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51584 ESPARADRAPO MICROPORE 0.2600 0.2600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 30961 ENALAPRIL 10 MG CP VO UN 0.0000 0.4000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2816 -0.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5852 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00124 LUVA CIRURGICA UN 1.4500 1.4450 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 51379 SERINGA DESC 05 ML UN 0.8600 0.8598 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 00943 EQUIPO POLIFIX 2 VIAS UN 7.6500 7.6500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 00737 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 54.1300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 00737 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 54.1300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5868 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7860 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.5376 -0.0176 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.5120 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.2100 0.2130 -0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4064 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 00919 ALGODAO HIDROFILO BOLINHA UN 0.5600 0.5600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283876047 00919 ALGODAO HIDROFILO BOLINHA UN 0.1300 0.1300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283876047 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5868 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283876047 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6615 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 34584 CAPTOPRIL 50 MG CP VO UN 0.1600 0.1558 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 73e4a44f4d56fac95aed807cb569d25b MARIO NULL NULL 12268522644 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6852 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 01603 GLICOSE 50% 10 ML SI IV AP 2.1900 2.1888 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dee5a0d03c4673fe8898c0a0fff00916 ANA NULL NULL 12276505648 00111 ABOCATH N 14 A 22 UN 3.7700 3.7700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.5120 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.9983 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 51457 LIDOCAINA 2% S/ VASO SI PE SC ML 4.1100 1.9430 2.1670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4046 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19763 SONDA FOLEY 2 VIAS Nş 16 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 16225 ATRACURIO 50 MG SI IV AP 0.0000 34.5557 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54518 MIDAZOLAM 5 MG/ML 10 ML SI IV AP 130.4200 130.4196 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.6000 0.5987 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 29661 NOREPINEFRINA 2 MG/ML 4 ML SI IV A 37.9900 37.9856 0.0044 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.4043 -0.0043 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.4043 -0.0043 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.4043 -0.0043 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00817 ALGODAO HIDROFILO BOLINHA UN 0.5356 0.5632 -0.0532 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00817 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.5376 -0.0276 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 37761 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0600 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 56723 DIETA DIABETES (C/CARBOIDRATO DE AB 87.7500 87.7500 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 56723 DIETA DIABETES (C/CARBOIDRATO DE AB 91.0000 91.0000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 22748 LIDOCAINA 2% GE TP OU GR 2.5900 2.4464 0.1436 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 13757 IODOPOVIDONA SD TP ML 0.4000 0.4000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 13757 IODOPOVIDONA SD TP ML 0.4000 0.4000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 13757 IODOPOVIDONA SD TP ML 0.4000 0.4000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 13757 IODOPOVIDONA SD TP ML 0.4000 0.4000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 28959 DERSANI LC TP ML 9.7000 9.7000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33219 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6650 0.0050 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 29580 FRASCO P/NUTRIÇAO ENTERAL 300 LACRE 2.4700 2.4723 -0.0023 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 a48e469abc716636c97d5b4032f77caa APARECIDA NULL NULL 12309719743 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 11.6800 11.6800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a48e469abc716636c97d5b4032f77caa APARECIDA NULL NULL 12309719743 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 5.8400 5.8310 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 000435 TAXA DE RESPIRADOR A VOLUME (MAI) 0.0000 1395.2328 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 56928 MODULO DE PROTEINAS DO SORO DO LEIT 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 32891 EQUIPO POLIFIX 2ş VIAS UN 2.5500 2.5460 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 1.2000 1.2000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.6000 0.6000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.6000 0.6000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.3000 0.3000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.3000 0.3000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.3000 0.3000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33219 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33219 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33219 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 23914 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALV 3.7300 3.7278 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 3.8500 3.8464 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.6000 0.5987 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.6000 0.5987 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.6000 0.5987 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 15946 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.7300 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.4076 -0.0076 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00817 ALGODAO HIDROFILO BOLINHA UN 0.5612 0.5888 -0.0788 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 47813 COLAGENASE PM TP GR 20.1639 21.7182 -6.2082 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 55018 ALGINATO DE CALCIO EM HIDROGEL GL 20.7000 21.3900 -0.6900 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 40.5600 40.5568 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 50598 ATROPINA 0,25 MG SI IV AP 0.4800 0.4842 -0.0042 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 50598 ATROPINA 0,25 MG SI IV AP 0.4800 0.4842 -0.0042 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 50598 ATROPINA 0,25 MG SI IV AP 0.4800 0.4842 -0.0042 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 41858 CLOPIDOGREL 75 MG CP VO UN 1.7900 1.7900 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.6000 0.5987 0.0013 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4055 0.0045 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4055 0.0045 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4055 0.0045 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4055 0.0045 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4055 0.0045 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4055 0.0045 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4055 0.0045 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4055 0.0045 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19135 SERINGA DESC 03 ML UN 0.1500 0.1500 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19135 SERINGA DESC 03 ML UN 0.1500 0.1500 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19135 SERINGA DESC 03 ML UN 0.1500 0.1500 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 30015 ACIDO ACETILSALICILICO 100 MG CP V 0.1400 0.1400 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19143 SERINGA DESC 05 ML UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19143 SERINGA DESC 05 ML UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19143 SERINGA DESC 05 ML UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19143 SERINGA DESC 05 ML UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 29661 NOREPINEFRINA 2 MG/ML 4 ML SI IV A 37.9900 37.9856 0.0044 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1813 -0.0013 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1813 -0.0013 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1813 0.0087 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1813 0.0087 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 56723 DIETA DIABETES (C/CARBOIDRATO DE AB 111.9300 112.0600 -2.8600 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 56723 DIETA DIABETES (C/CARBOIDRATO DE AB 143.0000 143.1300 -2.7300 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11363 ESCOPOLAMINA 20 MG/ML 1 ML SI IM I 1.0200 1.0239 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 20559 SORO FISIOLOGICO 0,9% 250 ML SI IV 3.9400 3.9447 -0.0047 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 20559 SORO FISIOLOGICO 0,9% 250 ML SI IV 3.9400 3.9447 -0.0047 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 20559 SORO FISIOLOGICO 0,9% 250 ML SI IV 3.9400 3.9447 -0.0047 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33219 LUVA DE PROCEDIMENTO UNIDADE UN 1.6900 1.6650 0.0250 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33219 LUVA DE PROCEDIMENTO UNIDADE UN 1.6900 1.6650 0.0250 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 14087 METRONIDAZOL 500 MG 100 ML SI IV B 7.0800 7.0809 -0.0009 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 09636 FLORATIL (SACCHAROMYCES BOULARDII) 4.4400 4.4429 -0.0029 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 09636 FLORATIL (SACCHAROMYCES BOULARDII) 4.4400 4.4429 -0.0029 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 31585 RANITIDINA 25 MG/ML 2 ML SI IV IM 0.9300 0.9337 -0.0037 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19151 SERINGA DESC 10 ML UN 0.3300 0.3331 -0.0031 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.4800 0.4808 -0.0008 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.4800 0.4808 -0.0008 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.4800 0.4808 -0.0008 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.4800 0.4808 -0.0008 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.4800 0.4808 -0.0008 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.4800 0.4808 -0.0008 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27316 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.7037 -0.0037 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 34487 MEROPENEM 1G PO IV FA 154.3800 154.3807 -0.0007 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 34487 MEROPENEM 1G PO IV FA 154.3800 154.3807 -0.0007 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 34487 MEROPENEM 1G PO IV FA 154.3800 154.3807 -0.0007 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 29580 FRASCO P/NUTRIÇAO ENTERAL 300 LACRE 2.4700 2.4723 -0.0023 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 29580 FRASCO P/NUTRIÇAO ENTERAL 300 LACRE 2.4700 2.4723 -0.0023 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12190351843 26999 GANCICLOVIR 500 MG + DIL. PO IV F 151.0400 151.0400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 10.2200 10.2112 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.6000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5436 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00097 ABOCATH N 14 A 22 UN 3.7700 3.7659 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51584 ESPARADRAPO MICROPORE 0.2800 0.2800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 1.1900 1.1900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51241 AGULHA 123X45 2.6713 1.5380 0.1720 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321471846 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321471846 00097 ABOCATH N 14 A 22 UN 3.7700 3.7624 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321471846 00090 SERINGA DESC 20 ML UN 0.5400 0.5340 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321471846 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a2cb1d00214ab61900fac49444b1672c CARMEM NULL NULL 12297674446 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4064 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a2cb1d00214ab61900fac49444b1672c CARMEM NULL NULL 12297674446 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a2cb1d00214ab61900fac49444b1672c CARMEM NULL NULL 12297674446 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a2cb1d00214ab61900fac49444b1672c CARMEM NULL NULL 12297674446 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5828 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 25722 OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA 19.5800 19.5716 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12234060246 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 41.9800 41.9800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9366 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 5.8400 5.8400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 51584 ESPARADRAPO MICROPORE 0.5100 0.5100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 51584 ESPARADRAPO MICROPORE 0.2600 0.2560 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00124 LUVA CIRURGICA UN 1.4500 1.4500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 1.3700 1.3700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 51208 SORO RINGER SIMPLES 500 ML SI IV BS 29.6900 29.6900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 20.9900 20.9900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9976 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7820 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7781a83504beb0f6fc1c86041782e8a1 ELODY NULL NULL 12320802443 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51616 ANLODIPINO 10 MG CP VO UN 0.7100 0.7100 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51616 ANLODIPINO 10 MG CP VO UN 0.7100 0.7100 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00111 ABOCATH N 14 A 22 UN 3.7700 3.7700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 56650 DIETA HIPERCALORICA HIPERPROTEICA S 85.0706 85.1440 -11.7440 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 9c457292aaeaf9fb2625e0716629becd ISABELLA NULL NULL 12263855845 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5868 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00097 ABOCATH N 14 A 22 UN 3.7700 3.7700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.6000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5924 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0800 0.0800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51584 ESPARADRAPO MICROPORE 0.5300 0.5154 0.0146 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 17.0400 17.0400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.9300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 1.8700 1.8607 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00090 SERINGA DESC 20 ML UN 2.6900 2.6900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2abb44c4a2ca59174467848d6678378d JESUINA NULL NULL 12266838249 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5868 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bfe0dce5ba78a927b1ddf0f5d8bcfddc JOSE NULL NULL 12263204342 00069 SERINGA DESC 10 ML UN 0.6700 0.6700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8b09750a6d2390cf2ffd5dd76799599a IVON NULL NULL 12292121344 00919 ALGODAO HIDROFILO BOLINHA UN 0.1300 0.1300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 26999 GANCICLOVIR 500 MG + DIL. PO IV F 151.0400 151.0374 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 11940 INSULINA NPH/REGULAR SI SC UI 0.2000 0.2000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 11940 INSULINA NPH/REGULAR SI SC UI 0.9000 0.9000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3400 0.0939 0.2461 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248313941 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9968 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 013b155943183fa582252ca154e5569f JUVELINA NULL NULL 12165747648 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 52.2500 52.2500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 013b155943183fa582252ca154e5569f JUVELINA NULL NULL 12165747648 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1292 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 013b155943183fa582252ca154e5569f JUVELINA NULL NULL 12165747648 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.1000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3100 0.3100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 1.9953 0.9260 0.4740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0100 0.6758 0.3342 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0100 0.6758 0.3342 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6800 1.1263 0.5537 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6800 1.1263 0.5537 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 20.9900 20.9900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9349 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 00919 ALGODAO HIDROFILO BOLINHA UN 0.3156 0.3072 -0.0172 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 00919 ALGODAO HIDROFILO BOLINHA UN 0.2900 0.2816 0.0084 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 00174 Soro Ringer C/ Lactato Bolsa C/ 500ml 10.5600 10.5590 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.4000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 54294 ZOLPIDEM 10 MG CP 1.2800 1.2788 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 00069 SERINGA DESC 10 ML UN 0.6700 0.6700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 1.0200 1.0200 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51241 AGULHA 123X45 2.6188 1.7298 0.1202 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d4dbfd05ca467c79165606fc7735e38f MARIA NULL NULL 12312451147 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1220 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00943 EQUIPO POLIFIX 2 VIAS UN 5.1000 5.1000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1848 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51584 ESPARADRAPO MICROPORE 0.2700 0.2560 0.0140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51584 ESPARADRAPO MICROPORE 0.2700 0.2560 0.0140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00407 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.8800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dc0262e6d5010acfe6a18c66d0d30ed3 OSMIDA NULL NULL 12264720947 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3973 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dc0262e6d5010acfe6a18c66d0d30ed3 OSMIDA NULL NULL 12264720947 51584 ESPARADRAPO MICROPORE 0.2600 0.2540 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9dbb8f82efe7a16aa84c856804bd479e SEBASTIAO NULL NULL 12228729249 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6cc91d0bae7ee80faf1515c3c1bc4604 OLGA NULL NULL 12241643640 01603 GLICOSE 50% 10 ML SI IV AP 4.3800 4.3800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00031 AGULHA DESC 13 X 45 UN 0.7700 0.5799 0.1901 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1363 0.1337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1363 0.1337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1363 0.1337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f46c55d85311b267c39a3c36a11c1704 WILSON NULL NULL 12288777248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f46c55d85311b267c39a3c36a11c1704 WILSON NULL NULL 12288777248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9968 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 18716 RISPERIDONA 1 MG CP VO UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 57266 FUMARATO DE QUETIAPINA 100 MG CP 8.6100 8.6076 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 57266 FUMARATO DE QUETIAPINA 100 MG CP 8.6100 8.6076 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 09b825abc9ef518ba223f29f2bf7c07b WALDEMAR NULL NULL 12171249749 26083 Prolopa 50/200mg Cp. 2.1200 2.1120 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 09b825abc9ef518ba223f29f2bf7c07b WALDEMAR NULL NULL 12171249749 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.5100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 09b825abc9ef518ba223f29f2bf7c07b WALDEMAR NULL NULL 12171249749 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 09b825abc9ef518ba223f29f2bf7c07b WALDEMAR NULL NULL 12171249749 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51584 ESPARADRAPO MICROPORE 0.3900 0.3880 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 1.3800 0.0000 1.3800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00031 AGULHA DESC 13 X 45 UN 0.6100 0.5813 0.0287 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00919 ALGODAO HIDROFILO BOLINHA UN 0.3712 0.3328 -0.0128 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00919 ALGODAO HIDROFILO BOLINHA UN 0.3456 0.3072 0.0128 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2816 -0.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1346 0.1354 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1346 0.1354 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00919 ALGODAO HIDROFILO BOLINHA UN 0.2900 0.1224 0.1676 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6900 1.3214 0.3686 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5476 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 54294 ZOLPIDEM 10 MG CP 1.2800 1.2780 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5820 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 07978 ELETRODO PARA MARCAPASSO TEMPORARIO 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 00817 ALGODAO HIDROFILO BOLINHA UN 0.5868 0.6144 -0.1044 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 32891 EQUIPO POLIFIX 2ş VIAS UN 2.5500 2.5492 0.0008 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2816 -0.0216 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 15010023 Hemodiálise (Por Sessão) NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 56928 MODULO DE PROTEINAS DO SORO DO LEIT 0.0000 6.6000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00170 SORO GLICOSADO 5% 250 ML SI IV BS NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51439 MEROPENEM 1G PO IV FA NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51439 MEROPENEM 1G PO IV FA NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51673 ALGINATO DE CALCIO EM HIDROGEL GL TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51673 ALGINATO DE CALCIO EM HIDROGEL GL TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00706 METRONIDAZOL 500 MG 100 ML SI IV BS NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00211 ESCOPOLAMINA 20 MG/ML 1 ML SI IM IV SC AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 03280 CLOREXIDINA 2 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 16961 CLOPIDOGREL 75 MG CP VO UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00211 ESCOPOLAMINA 20 MG/ML 1 ML SI IM IV SC AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51649 ALCOOL ETILICO 70 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0360 0.0640 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0260 0.0740 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51379 SERINGA DESC 05 ML UN 0.1900 0.0500 0.1400 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.7000 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 1.8935 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.0000 0.9609 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.3567 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.3567 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.3567 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.7224 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.7224 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51240 FITA ADVANTAGE P/ GLICOSE UN 0.0000 5.1750 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 20.9900 20.9900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 41.9800 41.9710 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 4e13adf421809cb755e1bdd80cc4efed AGRIPINA NULL NULL 12325730131 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 4e13adf421809cb755e1bdd80cc4efed AGRIPINA NULL NULL 12325730131 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320058937 00098 ABOCATH N 14 A 22 UN 3.7700 3.7696 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d2a64df14d76528bbd25fc52fbc92cae JOSE NULL NULL 12241648736 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.6650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6700 0.3300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6700 0.3300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1100 0.1500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00090 SERINGA DESC 20 ML UN 0.5400 0.5130 0.0270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00090 SERINGA DESC 20 ML UN 0.5400 0.5130 0.0270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00090 SERINGA DESC 20 ML UN 0.5400 0.5130 0.0270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.0300 0.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.0520 0.3480 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.0460 0.3540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.3720 0.2980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.4720 0.5280 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 51584 ESPARADRAPO MICROPORE 0.5100 0.3400 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.5130 0.2570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0384 0.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0384 0.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1069 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1069 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1078 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 1.9000 1.8955 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4628 0.0172 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.9256 0.0344 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 25030019 Distúrbios Circulatórios Artério - Venosos e Linfáticos 22.9200 6.5500 16.3700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 32050038 RX Tórax: P. A. 15.7500 9.0010 6.7490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.3176 1.2724 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.1620 0.1680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 02355 AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML 36.4700 36.4650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 10057 ALPRAZOLAM 0,5 MG CP VO UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 25030019 DISTURBIOS CIRCULATORIOS ARTERIO VE 0.0000 80.2424 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 5c8ab2d370e46d473148b3824dded22f LINI NULL NULL 12159460648 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.0000 1.1974 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254419131 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254419131 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 13722 BUPIVACAINA 5 MG/ML + GLICOSE 80 MG 0.0000 6.2594 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 55344 REMIFENTANIL 2 MG PO IV ML 0.0000 2.3995 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 644149ebf2a2c69f938aa1ae22f5ef7f MARIA NULL NULL 12185221839 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 10634 GLICOSE 50% 20 ML SI IV AP 0.0000 2.1356 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 31550 PREDNISONA 5 MG CP VO UN 0.3600 0.3570 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 31550 PREDNISONA 5 MG CP VO UN 0.3600 0.3570 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 12262 ISOSSORBIDA 20 MG CP VO UN 0.2200 0.2158 0.0042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 12262 ISOSSORBIDA 20 MG CP VO UN 0.2200 0.2158 0.0042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 f75b8a3ca92d2c95e65d2fff98be2d29 FRANCISCO NULL NULL 12270769836 00069 SERINGA DESC 10 ML UN 0.6700 0.6695 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 93ab10613d6a84b2e98ec68d66f5f061 LEOVEGILDO NULL NULL 12184124349 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 2.3057 2.3043 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 54d59bca98bdfc6e3183f3c58c8080a2 ELIABY NULL NULL 12325813637 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 54d59bca98bdfc6e3183f3c58c8080a2 ELIABY NULL NULL 12325813637 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4088 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4085 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4085 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4085 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51660 BROMETO DE IPRATROPIO SL IN GT 3.2000 0.0000 3.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51660 BROMETO DE IPRATROPIO SL IN GT 3.2000 0.0000 3.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51660 BROMETO DE IPRATROPIO SL IN GT 3.2000 0.0000 3.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 27042 CLOREXIDINA 2 % ST TP ML DEGERMANTE 0.5300 0.5240 0.0060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.5140 0.0160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.5140 0.0160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3426 0.1374 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3426 0.1374 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3426 0.1374 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.6853 0.2747 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.6853 0.2747 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.6853 0.2747 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.9200 1.3706 0.5494 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1885 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1885 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1885 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 5.8400 5.8380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 5.8400 5.8380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12254218741 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12254218741 00097 ABOCATH N 14 A 22 UN 3.7700 1.8832 1.8868 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dee5a0d03c4673fe8898c0a0fff00916 ANA NULL NULL 12276505648 00125 LUVA CIRURGICA UN 1.4500 0.7238 0.7262 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5350 0.4650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 51419 FILTRO DE BARREIRA 24.0000 12.0000 12.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8162 0.0038 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4157 0.1743 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51241 AGULHA 123X45 0.3800 0.0000 0.3800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0426 0.0074 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.8554 0.0746 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.8551 0.0749 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3702 0.4398 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3702 0.4398 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 0.7404 0.8796 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.9600 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00097 ABOCATH N 14 A 22 UN 3.7700 3.7673 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1360 0.1240 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1100 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 00124 LUVA CIRURGICA UN 1.4500 1.4488 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 00124 LUVA CIRURGICA UN 1.4500 1.4488 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6640 0.0060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6640 0.0060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2340 0.0660 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2300 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP 37.9900 36.4712 1.5188 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP 66.4700 63.8118 2.6582 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP 151.9400 145.8639 6.0761 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7412 0.0688 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 bcaf52a172d225b74745a133f1a88ade MARIANA NULL NULL 12267218032 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 be3a00aea8414caa2481fbd5acdbea6d MARTA NULL NULL 12223656239 27596 TIRA TESTE PARA GLICOSE UN 0.0000 2.5876 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222597035 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234617838 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234617838 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234617838 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12219054932 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12219054932 02461 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.0000 0.4255 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6cc91d0bae7ee80faf1515c3c1bc4604 OLGA NULL NULL 12241643640 27596 TIRA TESTE PARA GLICOSE UN 0.0000 2.5876 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235281439 20575 SORO FISIOLOGICO 0,9% 1000 ML SI I 0.0000 5.8390 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235281439 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dc0262e6d5010acfe6a18c66d0d30ed3 OSMIDA NULL NULL 12264720947 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dc0262e6d5010acfe6a18c66d0d30ed3 OSMIDA NULL NULL 12264720947 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 753c84e1fe71f9a70b9b36d18828ba40 SUZANE NULL NULL 12297996332 19160 SERINGA DESC 20 ML UN 0.0000 0.5380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 34010130 TOMOGRAFIA COMPUTADORIZADA DO TORAX 0.0000 280.6875 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12269071038 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12269071038 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12252609736 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12315497533 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12315497533 15210 NORIPURUM EV 20 MG/ML 5 ML SI IV 0.0000 9.4080 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 eff08749d885c5abdbd269091d7c9873 WILSON NULL NULL 12297485331 19160 SERINGA DESC 20 ML UN 0.0000 0.5380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.1171 0.4729 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 51241 AGULHA 123X45 0.1900 0.0106 0.1794 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3550 0.2450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3550 0.2450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6640 0.0060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1789 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1782 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.2600 0.2571 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.7700 0.7609 0.0091 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00735 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 27.0658 27.0642 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00541 AMIODARONA 200 MG CP VO UN 1.6800 1.3000 0.3800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00541 AMIODARONA 200 MG CP VO UN 1.6800 1.3000 0.3800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 01400 ALPRAZOLAM 0,5 MG CP VO UN 1.4100 1.1600 0.2500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00991 ESPIRONOLACTONA 25 MG CP VO UN 0.4800 0.3900 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 3.5502 0.3898 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 3.5502 0.3898 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7800 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 000501 OXIGENIO 62.4900 61.5860 0.9040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 25040014 Fisioterapia Respiratória - em Doente Clínico Internado 12.2800 9.4500 2.8300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dc0262e6d5010acfe6a18c66d0d30ed3 OSMIDA NULL NULL 12264720947 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0000 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0000 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0000 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00069 SERINGA DESC 10 ML UN 0.3300 0.2437 0.0863 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2670 0.0530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2669 0.0531 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 0.0000 2.5500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.3176 1.2724 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.3176 1.2724 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1910 0.1090 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3820 0.2180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 5387874bebb5ff5602ac3e7a073ac463 MATEUS NULL NULL 12254856718 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 6700412ecea4f02c70fe8c98702a7e5c NAYANE NULL NULL 12321679012 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 dc0262e6d5010acfe6a18c66d0d30ed3 OSMIDA NULL NULL 12311448719 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 64bd3ec95addeb67afae125096388fc3 SUELI NULL NULL 12296844710 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 c9b67165dc17b29e0f8df2fdb75fd0a0 TANIA NULL NULL 12280060710 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 3209b0ec321834d5def6d4919da4ca08 TANIA NULL NULL 12296569212 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 8d6848e10fddc81a9fe53f5699419196 TEREZINHA NULL NULL 12343171111 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 33d01c7e2f92735fe900083aae14c4b8 YEDA NULL NULL 12321394710 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 34010173 TOMOGRAFIA COMPUTADORIZADA DE ABDOM 0.0000 477.0390 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 19119 SERINGA DESC 01 ML (INSULINA) UN 0.0000 0.3074 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 19119 SERINGA DESC 01 ML (INSULINA) UN 0.0000 0.3074 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 17892 NEOSTIGMINA 0,5 MG/ML 1 ML SI SC I 0.0000 3.0676 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 19917 SONDA NASOGASTRICA LONGA Nş 18 UN 0.0000 1.0889 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 05444 CLORETO DE POTASSIO 15% 10 ML SI I 0.0000 0.6862 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320508342 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8b09750a6d2390cf2ffd5dd76799599a IVON NULL NULL 12292121344 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248313941 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320508342 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320508342 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320508342 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.2600 0.2070 0.0530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.2600 0.2070 0.0530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.2600 0.2070 0.0530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.2600 0.2070 0.0530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.5100 0.4070 0.1030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1570 0.2430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.3035 0.5765 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.3035 0.5765 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.3035 0.5765 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.3035 0.5765 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.7612 1.1788 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00704 MEROPENEM 1G PO IV FA 154.3800 77.1907 77.1893 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00704 MEROPENEM 1G PO IV FA 154.3800 77.1903 77.1897 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51662 Simeticona frasco c/15 ml 1.0500 0.9600 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51662 Simeticona frasco c/15 ml 1.0500 0.9500 0.1000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51662 Simeticona frasco c/15 ml 2.1000 1.9000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00124 LUVA CIRURGICA UN 1.4500 1.2076 0.2424 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.1178 0.4722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 51240 FITA ADVANTAGE P/ GLICOSE UN 7.7600 6.3454 1.4146 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.9850 0.2950 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2170 0.0830 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9816 0.4284 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5494 0.4106 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00348 DIPIRONA 500 MG CP VO UN 0.5400 0.4100 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8095 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51660 BROMETO DE IPRATROPIO SL IN GT 2.1000 0.0000 2.1000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51660 BROMETO DE IPRATROPIO SL IN GT 2.4000 0.0000 2.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51660 BROMETO DE IPRATROPIO SL IN GT 2.4000 0.0000 2.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.4586 1.1514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2451 0.0749 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00090 SERINGA DESC 20 ML UN 0.5400 0.1560 0.3840 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51241 AGULHA 123X45 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51241 AGULHA 123X45 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2199 0.1801 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.9442 0.7858 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0f992b408cbd27a95de887ea229c0b26 JORGINA NULL NULL 12321704643 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7100 0.2900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 00097 ABOCATH N 14 A 22 UN 3.7700 1.8830 1.8870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00069 SERINGA DESC 10 ML UN 0.3300 0.2629 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0600 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0600 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 1.2746 1.2754 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 1.2746 1.2754 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12190351843 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00069 SERINGA DESC 10 ML UN 0.3300 0.2533 0.0767 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0800 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.1536 0.1564 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 1.3700 0.3414 1.0286 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 03280 CLOREXIDINA 2 % ST TP ML 0.2700 0.2000 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 54687 IODOPOVIDONA SD TP ML 0.4000 0.2400 0.1600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 54687 IODOPOVIDONA SD TP ML 0.6000 0.3600 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 54687 IODOPOVIDONA SD TP ML 0.6000 0.3600 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00124 LUVA CIRURGICA UN 1.4500 1.2062 0.2438 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP 37.9900 37.9855 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5013 0.0887 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5013 0.0887 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1780 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.5590 0.1110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00098 ABOCATH N 14 A 22 UN 3.7700 2.2609 1.5091 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0478 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.3719 0.2181 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00124 LUVA CIRURGICA UN 1.4500 0.6207 0.8293 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00124 LUVA CIRURGICA UN 1.4500 0.6206 0.8294 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00124 LUVA CIRURGICA UN 1.4500 0.6206 0.8294 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00124 LUVA CIRURGICA UN 1.4500 0.6206 0.8294 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00124 LUVA CIRURGICA UN 1.4500 0.6206 0.8294 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2912 0.0188 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2912 0.0188 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2912 0.0188 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.1700 0.1140 0.0560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00097 ABOCATH N 14 A 22 UN 3.7700 3.0129 0.7571 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0409 0.0091 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0409 0.0091 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3670 0.2330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 0.7350 0.4650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3330 0.0670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3330 0.0670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51584 ESPARADRAPO MICROPORE 0.2600 0.1970 0.0630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51584 ESPARADRAPO MICROPORE 0.7700 0.5850 0.1850 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7058 1.7042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 3.4086 3.4114 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 3.4086 3.4114 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 09340 LEVOFLOXACINO 5 MG/ML 100 ML SI IV BS 105.6800 105.6771 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.5000 0.2300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.5000 0.2300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 04963 PANTOPRAZOL 40 MG CP VO UN 3.4600 2.9800 0.4800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3495 0.0505 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3476 0.0524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3476 0.0524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2150 0.3150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2150 0.3150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8253 0.1347 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8253 0.1347 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8253 0.1347 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8253 0.1347 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8253 0.1347 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 2.5652 0.2648 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 2.5637 0.2663 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 2.5637 0.2663 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 2.5637 0.2663 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 166.9000 166.8985 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 13.2000 13.1950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8185 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 52386 CLORETO DE SODIO 20% 10 ML SI IV AP 1.1000 1.0958 0.0042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 01603 GLICOSE 50% 10 ML SI IV AP 2.7400 2.7370 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 4.9759 0.2141 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2080 0.5220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2080 0.5220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2080 0.5220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2080 0.5220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0300 0.7700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0200 0.7800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0200 0.7800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0200 0.7800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0200 0.7800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0200 0.7800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 53858 NISTATINA CV VG GR 0.0900 0.0283 0.0617 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 0.3800 0.3216 0.0584 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 0.3800 0.3216 0.0584 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 1.9119 0.6381 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1310 0.1690 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.2620 0.3380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6730 0.3270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6650 0.3350 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2200 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.3070 0.4630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.3070 0.4630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.3070 0.4630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.3070 0.4630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51163 AGUA BIDESTILADA 250 ML 5.7900 4.8200 0.9700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 1.7000 0.0000 1.7000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3690 0.1110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3690 0.1110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3690 0.1110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3690 0.1110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3690 0.1110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 09b825abc9ef518ba223f29f2bf7c07b WALDEMAR NULL NULL 12171249749 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 09b825abc9ef518ba223f29f2bf7c07b WALDEMAR NULL NULL 12171249749 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 00031 AGULHA DESC 13 X 45 UN 0.1900 0.1808 0.0092 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 00031 AGULHA DESC 13 X 45 UN 0.1900 0.1808 0.0092 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6000 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3130 0.0870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3130 0.0870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3073 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0280 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3815 0.0185 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3809 0.0191 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3809 0.0191 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 1.0800 1.0600 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1300 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.1900 0.1538 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.1900 0.1538 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51419 FILTRO DE BARREIRA 24.0000 16.0000 8.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00069 SERINGA DESC 10 ML UN 0.3300 0.1732 0.1568 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3230 0.0770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.6550 0.1550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51660 BROMETO DE IPRATROPIO SL IN GT 2.4000 0.0000 2.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51660 BROMETO DE IPRATROPIO SL IN GT 3.2000 0.0000 3.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51660 BROMETO DE IPRATROPIO SL IN GT 3.2000 0.0000 3.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 54555 AEROLIN 0.5000 0.4980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.9200 0.9822 0.9378 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 3.8500 1.9695 1.8805 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1470 0.0930 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.0589 0.5311 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2200 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2200 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2200 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2200 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4200 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.9000 0.6300 0.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51584 ESPARADRAPO MICROPORE 0.2600 0.0700 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51584 ESPARADRAPO MICROPORE 0.2600 0.0700 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51584 ESPARADRAPO MICROPORE 0.2600 0.0700 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51584 ESPARADRAPO MICROPORE 0.2600 0.0700 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51584 ESPARADRAPO MICROPORE 0.2600 0.0600 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51584 ESPARADRAPO MICROPORE 0.2600 0.0600 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51584 ESPARADRAPO MICROPORE 0.7700 0.2000 0.5700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 54653 DERSANI LC TP ML 19.4000 3.7300 15.6700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 54653 DERSANI LC TP ML 19.4000 3.7300 15.6700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2400 0.2900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 54687 IODOPOVIDONA SD TP ML 0.4000 0.1200 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 54687 IODOPOVIDONA SD TP ML 0.4000 0.1200 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 54687 IODOPOVIDONA SD TP ML 0.4000 0.1200 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 54687 IODOPOVIDONA SD TP ML 0.4000 0.1100 0.2900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 54687 IODOPOVIDONA SD TP ML 0.8000 0.2300 0.5700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.1415 0.5885 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 30813 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.3252 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00838 HIDRALAZINA 50 MG DG VO UN 0.3200 0.0890 0.2310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00838 HIDRALAZINA 50 MG DG VO UN 0.9600 0.2680 0.6920 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059418 3e0e02debc0e7618b17615248d3c37d3 ABADIA NULL NULL 12321653025 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059418 ab1a041716bd33f40deac442fa25f48c WILZE NULL NULL 12336567522 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059418 4801bff91aa378d602e036921b93b70f ANA NULL NULL 12325530524 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 26999 GANCICLOVIR 500 MG + DIL. PO IV F 151.0400 151.0374 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 26999 GANCICLOVIR 500 MG + DIL. PO IV F 151.0400 151.0374 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.7900 0.6235 0.1665 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 55913 CISATRACURIO 10 MG 5 ML SI IV FR 0.0000 60.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 21822 TRAMADOL 50 MG 1 ML SI IM IV AP 8.3900 8.3892 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 32719 CEFAZOLINA 1 GR + DIL. 10 ML FA 8.1300 8.1275 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 00817 ALGODAO HIDROFILO BOLINHA UN 0.5912 0.5888 -0.0488 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 00817 ALGODAO HIDROFILO BOLINHA UN 0.5756 0.5632 -0.0132 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.3000 0.3280 -0.0280 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 33219 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.8315 -0.1615 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51379 SERINGA DESC 05 ML UN 0.1900 0.0500 0.1400 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00069 SERINGA DESC 10 ML UN 0.3300 0.0870 0.2430 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.4220 1.1680 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51622 MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR 6.6000 1.7530 4.8470 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51622 MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR 6.6000 1.7530 4.8470 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51622 MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR 6.6000 1.7530 4.8470 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 51578 Frasco p/ alimentacao enteral NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 51590 ABAIXADOR DE LINGUA UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 51622 MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00919 ALGODAO HIDROFILO BOLINHA UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 201001 TAXA DE SALA PORTE 0 NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 22061 DEXMEDETOMEDINA 100mcg/ml 2ml - Fr NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 51673 ALGINATO DE CALCIO EM HIDROGEL GL TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 51673 ALGINATO DE CALCIO EM HIDROGEL GL TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 51673 ALGINATO DE CALCIO EM HIDROGEL GL TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54172 DIETA DIABETES 1.5 KCAL/ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 25030019 DISTURBIOS CIRCULATORIOS ARTERIO VE 22.9200 0.0000 22.9200 NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 56928 MODULO DE PROTEINAS DO SORO DO LEIT 0.0000 6.6000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 56928 MODULO DE PROTEINAS DO SORO DO LEIT 0.0000 6.6000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 000445 TAXA DE TRANSPORTE E INSTALACAO DE EQUIPAMENTO DE NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00170 SORO GLICOSADO 5% 250 ML SI IV BS NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 51163 AGUA BIDESTILADA 250 ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 51163 AGUA BIDESTILADA 250 ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 51673 ALGINATO DE CALCIO EM HIDROGEL GL TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 51673 ALGINATO DE CALCIO EM HIDROGEL GL TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 51578 Frasco p/ alimentacao enteral NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 51622 MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 000441 TAXA DE DELEUCOTIZAÇÃO NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 52010023 Artrodese da Coluna Vertebral Via Anterior ou Póstero Lateral 287.4400 234.0600 53.3800 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 28010337 calcio ionico 0.0000 0.2178 NULL EXAME SEM REGISTRO DE EXECUCAO 2703
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 000441 TAXA DE DELEUCOTIZAÇÃO 0.0000 0.0000 NULL COBRANCA DE TAXA DE OBSERVACAO EM PRONTO SOCORRO SEM O REGISTRO DA PERMANENCIA 2410
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00919 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.2700 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.4000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 25722 OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA 19.5800 0.0000 19.5800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3883 0.0117 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3883 0.0117 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3883 0.0117 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4089 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4095 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 25030019 DISTURBIOS CIRCULATORIOS ARTERIO VE 22.9200 0.0000 22.9200 NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 15010023 Hemodiálise (Por Sessão) NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 000445 TAXA DE TRANSPORTE E INSTALACAO DE EQUIPAMENTO DE NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00170 SORO GLICOSADO 5% 250 ML SI IV BS NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00170 SORO GLICOSADO 5% 250 ML SI IV BS NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51673 ALGINATO DE CALCIO EM HIDROGEL GL TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51673 ALGINATO DE CALCIO EM HIDROGEL GL TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00796 FLORATIL (SACCHAROMYCES BOULARDII) 200 MG PO VO NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 03280 CLOREXIDINA 2 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 03280 CLOREXIDINA 2 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00204 AAS (ACIDO ACETILSALICILICO) 100 MG CP VO UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00204 AAS (ACIDO ACETILSALICILICO) 100 MG CP VO UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00211 ESCOPOLAMINA 20 MG/ML 1 ML SI IM IV SC AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00564 ATROPINA 0,25 MG SI IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00564 ATROPINA 0,25 MG SI IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00564 ATROPINA 0,25 MG SI IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0390 0.0610 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0260 0.0740 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0260 0.0740 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0260 0.0740 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0260 0.0740 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0260 0.0740 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0260 0.0740 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0470 0.1330 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 36731 Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) 0.0000 16.0000 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.7000 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 04242 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 0.0000 0.6504 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 04242 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 0.0000 3.2509 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 000435 TAXA DE RESPIRADOR A VOLUME (MAI) 0.0000 44.7100 NULL COBRANCA DE TAXA POR USO DE EQUIPAMENTO INCOMPATIVEL COM O PROCEDIMENTO REALIZADO/USO PREVISTO NO PROCEDIMENTO 2402
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.3567 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.3567 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.3567 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.7224 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.7224 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51163 AGUA BIDESTILADA 250 ML 0.0000 5.7860 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51163 AGUA BIDESTILADA 250 ML 0.0000 5.7900 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51240 FITA ADVANTAGE P/ GLICOSE UN 0.0000 2.5870 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51240 FITA ADVANTAGE P/ GLICOSE UN 0.0000 2.5870 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51379 SERINGA DESC 05 ML UN 0.0000 0.5100 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 635cd71723457924a301ac7a159d9b2b BATISTINA NULL NULL 12319870235 20613 SORO GLICOSADO 5% 250 ML SI IV BS 0.0000 3.3952 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 9ceb7aa1edd4c9013f25d82381a85fb1 BENEDITA NULL NULL 12229148433 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 9ceb7aa1edd4c9013f25d82381a85fb1 BENEDITA NULL NULL 12229148433 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cc4c5c9ac52be7906f0b6ce08416d241 BRUNA NULL NULL 12267241344 34010130 TOMOGRAFIA COMPUTADORIZADA DO TORAX 0.0000 280.6875 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321409939 20370 SONDA URETRAL Nş 12 UN 0.0000 0.7558 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321409939 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321409939 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12330307230 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8e33f9f53bac138de65049d2befe0f99 DELIO NULL NULL 12310009231 18988 SCALP (TODOS) UN 0.0000 0.3971 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 20.2784 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320058937 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 54d59bca98bdfc6e3183f3c58c8080a2 ELIABY NULL NULL 12325813637 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 54d59bca98bdfc6e3183f3c58c8080a2 ELIABY NULL NULL 12325813637 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7781a83504beb0f6fc1c86041782e8a1 ELODY NULL NULL 12320802443 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7781a83504beb0f6fc1c86041782e8a1 ELODY NULL NULL 12320802443 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 19763 SONDA FOLEY 2 VIAS Nş 16 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 f75b8a3ca92d2c95e65d2fff98be2d29 FRANCISCO NULL NULL 12270769836 19917 SONDA NASOGASTRICA LONGA Nş 18 UN 0.0000 1.0889 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 792c9785a1e3905ad1f4f4ddb78a9694 GERALDA NULL NULL 12321408539 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 20931 SULFATO DE MAGNESIO 100 MG/ML 10 ML 0.0000 1.8956 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 01899 AMIODARONA 50 MG/ML 3ML SI IV AP 0.0000 13.1688 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9c457292aaeaf9fb2625e0716629becd ISABELLA NULL NULL 12263855845 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.2560 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9c457292aaeaf9fb2625e0716629becd ISABELLA NULL NULL 12263855845 13722 BUPIVACAINA 5 MG/ML + GLICOSE 80 MG 0.0000 6.2594 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222531131 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222531131 19151 SERINGA DESC 10 ML UN 0.0000 0.6662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 afb55c8be5f6cc50fb22f7a5aa0cd72f JACQUELINE NULL NULL 12265038634 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 679bafba1e46e48177b69c2d8cb34c73 JOANA NULL NULL 12332118930 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 80b48beb268563c3e97e343f59e1bb64 JOAO NULL NULL 12243320148 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 12235405732 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bfe0dce5ba78a927b1ddf0f5d8bcfddc JOSE NULL NULL 12263204342 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 2e2f03e046097465ccdb246bcd3e2aa7 JUAREZ NULL NULL 12317886530 18988 SCALP (TODOS) UN 0.0000 0.3971 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 71f935ca8fab6cccb6233fa8781155c0 LARA NULL NULL 12238580932 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 71f935ca8fab6cccb6233fa8781155c0 LARA NULL NULL 12238580932 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12286876434 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 93ab10613d6a84b2e98ec68d66f5f061 LEOVEGILDO NULL NULL 12184124349 33227 LUVA CIRURGICA UN 0.0000 1.4475 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5c8ab2d370e46d473148b3824dded22f LINI NULL NULL 12159460648 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0000 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0000 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0000 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0000 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0000 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0000 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0000 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0120 0.0180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0120 0.0180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0120 0.0180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3901 0.0099 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3901 0.0099 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3901 0.0099 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3901 0.0099 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3901 0.0099 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00124 LUVA CIRURGICA UN 1.4500 1.4480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00124 LUVA CIRURGICA UN 1.4500 1.4480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.3142 0.9658 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.3142 0.9658 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.3142 0.9658 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.3142 0.9658 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.3142 0.9658 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2670 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2940 0.1060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 03081 AMIODARONA 50 MG/ML 3ML SI IV AP 4.3900 4.3895 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4085 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.9970 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d4dbfd05ca467c79165606fc7735e38f MARIA NULL NULL 12312451147 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7250 0.2750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9c457292aaeaf9fb2625e0716629becd ISABELLA NULL NULL 12263855845 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.5610 0.8490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7380 0.2620 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.4100 0.3200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 04963 PANTOPRAZOL 40 MG CP VO UN 3.4600 2.8300 0.6300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321471846 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2770 0.0230 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 1.1090 0.0910 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6300 0.3700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 51584 ESPARADRAPO MICROPORE 0.7700 0.6710 0.0990 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bfe0dce5ba78a927b1ddf0f5d8bcfddc JOSE NULL NULL 12263204342 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2761 0.0439 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2761 0.0439 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2761 0.0439 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2761 0.0439 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7781a83504beb0f6fc1c86041782e8a1 ELODY NULL NULL 12320802443 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4807 0.4793 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00069 SERINGA DESC 10 ML UN 0.3300 0.3299 0.0001 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00069 SERINGA DESC 10 ML UN 0.6700 0.6690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00069 SERINGA DESC 10 ML UN 1.6700 1.6677 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 2.5600 2.5480 0.0120 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8098 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 2.0200 2.0180 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00493 BROMOPRIDA 5 MG/ML 2 ML SI IM IV AP 8.2000 8.1961 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 00124 LUVA CIRURGICA UN 1.4500 0.4900 0.9600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4100 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.4990 0.5010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2fd28f5aa76be7aa2072537d0ba85951 ELAINE NULL NULL 12255258142 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2fd28f5aa76be7aa2072537d0ba85951 ELAINE NULL NULL 12255258142 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a48e469abc716636c97d5b4032f77caa APARECIDA NULL NULL 12309719743 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a48e469abc716636c97d5b4032f77caa APARECIDA NULL NULL 12309719743 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a48e469abc716636c97d5b4032f77caa APARECIDA NULL NULL 12309719743 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a48e469abc716636c97d5b4032f77caa APARECIDA NULL NULL 12309719743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 00125 LUVA CIRURGICA UN 1.4500 0.7237 0.7263 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 1.2746 1.2754 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7220 0.0880 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 01c86ea9e8701666ebfce68f2b0f03a6 ZELIA NULL NULL 12298014038 19160 SERINGA DESC 20 ML UN 0.0000 0.5380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234617838 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.6400 0.6005 0.0395 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 1.2011 0.0789 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.1500 0.1350 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.2030 0.4670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51584 ESPARADRAPO MICROPORE 0.2600 0.1990 0.0610 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51514 ATORVASTATINA CALCICA 40 MG CP VO UN 6.1800 3.4800 2.7000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.4216 0.3884 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.4216 0.3884 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 000501 OXIGENIO 2.9700 2.1800 0.7900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12252609736 00111 ABOCATH N 14 A 22 UN 3.7700 3.7663 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.1171 0.4729 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.1171 0.4729 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1060 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.1163 0.8437 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 1.5400 0.8500 0.6900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 1.9406 0.6494 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 51590 ABAIXADOR DE LINGUA UN 0.0300 0.0192 0.0108 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0320 0.0180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.6406 0.6394 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 268049a93bd6b26b4f5b79b2e6ede297 SALVINA NULL NULL 12187025148 51475 FUMARATO DE QUETIAPINA 25 MG CA VO UN 1.2500 1.2471 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 268049a93bd6b26b4f5b79b2e6ede297 SALVINA NULL NULL 12187025148 51475 FUMARATO DE QUETIAPINA 25 MG CA VO UN 1.2500 1.2471 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 268049a93bd6b26b4f5b79b2e6ede297 SALVINA NULL NULL 12187025148 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 0.0000 4.7300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 268049a93bd6b26b4f5b79b2e6ede297 SALVINA NULL NULL 12187025148 28702 VITAMINAS DO COMPLEXO B 2 ML SI IM IV AP 0.7200 0.0000 0.7200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12254155740 51584 ESPARADRAPO MICROPORE 0.7700 0.7690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3073 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2150 0.2950 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5150 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5150 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5150 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5150 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5150 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5150 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5150 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51378 SERINGA DESC 03 ML UN 0.1500 0.1460 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51378 SERINGA DESC 03 ML UN 0.1500 0.1460 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51378 SERINGA DESC 03 ML UN 0.1500 0.1460 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51378 SERINGA DESC 03 ML UN 0.1500 0.1460 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.5338 0.7462 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.3900 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.1800 0.2200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0455 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5131 0.0869 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5131 0.0869 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5131 0.0869 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5131 0.0869 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5131 0.0869 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5131 0.0869 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5131 0.0869 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.3078 0.1022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.3078 0.1022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.3078 0.1022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.3078 0.1022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.3078 0.1022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.4786 0.9314 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2820 0.1180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51660 BROMETO DE IPRATROPIO SL IN GT 1.2000 0.0000 1.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.4400 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 03280 CLOREXIDINA 2 % ST TP ML 1.6000 1.3300 0.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283867638 19151 SERINGA DESC 10 ML UN 0.0000 0.6662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283867638 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 678dc839842340e927568125f89b2f2a HELIO NULL NULL 12336444836 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 678dc839842340e927568125f89b2f2a HELIO NULL NULL 12336444836 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 678dc839842340e927568125f89b2f2a HELIO NULL NULL 12336444836 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 855b5eec2465ffe6bde8bad4f7ccdc93 ANDREIA NULL NULL 12321680935 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 855b5eec2465ffe6bde8bad4f7ccdc93 ANDREIA NULL NULL 12321680935 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259333639 19151 SERINGA DESC 10 ML UN 0.0000 0.6662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8945839593ea1e2b2001473532c73738 KAYKY NULL NULL 12264467437 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.0000 0.8078 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 a1fdd21cd8fbd02e31350f0a5890f317 MARIA NULL NULL 12265559337 19160 SERINGA DESC 20 ML UN 0.0000 0.5380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 51c1cd7bf95e67c465e8eac45d6e828c JAQUELLINY NULL NULL 12254454032 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12261773339 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 a48e469abc716636c97d5b4032f77caa APARECIDA NULL NULL 12309706511 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 635cd71723457924a301ac7a159d9b2b BATISTINA NULL NULL 12319543910 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281427918 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 8e33f9f53bac138de65049d2befe0f99 DELIO NULL NULL 12309961514 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 286a6733c7d5f6aa744c15da8ad6c5ed EDUARDO NULL NULL 12335709614 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 54d59bca98bdfc6e3183f3c58c8080a2 ELIABY NULL NULL 12325797810 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 71a1bd6b05cc73c383c576a529acea44 ENINA NULL NULL 12268692116 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 cf77da12dda3393322bbe2da8307320f EULA NULL NULL 12285185010 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 e634a6c5e65ebd4b6396d6f708c4944b EUNICE NULL NULL 12273804213 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 d0386b7fdef704aa152a8446b8ed9c0e HELCIO NULL NULL 12269198313 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12257664418 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 342fda5307471687efd49a3a3b449054 IBANES NULL NULL 12290216814 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 2e8faeb7061823683b9b30ff242f8361 ISENILDA NULL NULL 12336867510 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 8b09750a6d2390cf2ffd5dd76799599a IVON NULL NULL 12291467013 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 0eb009eba92f602c6099864776da6c06 JANE NULL NULL 12269898311 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 fd3c5d50f8fecb579a282a543009b136 JOANA NULL NULL 12261074418 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 272ed3e1e14c329ebc2f30680a0ac1e6 JOSEFINA NULL NULL 12342468314 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 77e567fa7635e2789992b7d0a92337f6 MARCELO NULL NULL 12260625814 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 fce29e32b885de9d6b8a1f61b330bdbf MARCELO NULL NULL 12321805216 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 a43c6ce4cb2052c6703bac50f4c7a97d MARIA NULL NULL 12320803315 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 cef574f418a021f3c9d9e5b489982f34 MARIA NULL NULL 12259559117 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 99e2a8ccec3ee1314e922f5bd9c2deff MARIA NULL NULL 12314601619 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 a344ba0419500b064b5ff8ceadafb0e6 MARIA NULL NULL 12266595310 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 16225 ATRACURIO 50 MG SI IV AP 0.0000 34.5557 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 17892 NEOSTIGMINA 0,5 MG/ML 1 ML SI SC I 0.0000 3.0676 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222598130 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.0798 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 07528 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 0.0000 12.8679 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 32905 EQUIPO POLIFIX 4ş VIAS UN 0.0000 5.0984 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 20.2784 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9dbb8f82efe7a16aa84c856804bd479e SEBASTIAO NULL NULL 12228729249 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.7980 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9dbb8f82efe7a16aa84c856804bd479e SEBASTIAO NULL NULL 12228729249 33227 LUVA CIRURGICA UN 0.0000 1.4475 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 33010358 DOPPLER COLORIDO DE TRES OU MAIS VA 0.0000 208.3785 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 50385 CETOPROFENO 100 MG PO IV FA 0.0000 7.7768 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 31828 PREDNISONA 20 MG CP VO UN 0.7500 0.7480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 31828 PREDNISONA 20 MG CP VO UN 0.7500 0.7480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 09733 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 09733 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2459 0.0641 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1060 0.1540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00090 SERINGA DESC 20 ML UN 0.5400 0.2130 0.3270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00090 SERINGA DESC 20 ML UN 0.5400 0.2090 0.3310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00090 SERINGA DESC 20 ML UN 0.5400 0.2090 0.3310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.0107 0.5793 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.0107 0.5793 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2500 0.1500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2500 0.1500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.2600 0.2070 0.0530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.2600 0.2070 0.0530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.2600 0.2070 0.0530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.0200 0.7100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.0100 0.7200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7963 0.1637 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7963 0.1637 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3640 0.0360 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.1360 2.2740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 00124 LUVA CIRURGICA UN 1.4500 0.0000 1.4500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 3.3000 0.6180 2.6820 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 00919 ALGODAO HIDROFILO BOLINHA UN 0.1300 0.1270 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.9600 0.9470 0.0130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.4300 0.0000 0.4300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 1.7000 0.0000 1.7000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 02252 METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL 15.2800 15.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 02252 METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL 15.2800 15.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 02252 METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL 15.2800 15.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3400 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.9200 1.3603 0.5597 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8095 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51475 FUMARATO DE QUETIAPINA 25 MG CA VO UN 1.2500 1.2471 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 1.0200 0.0000 1.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2760 0.2040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2760 0.2040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2760 0.2040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 3.7500 2.1800 1.5700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 3.7500 2.1800 1.5700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 3.7500 2.1800 1.5700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 7.5000 4.3600 3.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2243 0.2557 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4487 0.5113 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 09070 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.8880 0.7820 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 51662 Simeticona frasco c/15 ml 1.2000 1.1400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 51662 Simeticona frasco c/15 ml 1.2000 1.1400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 51662 Simeticona frasco c/15 ml 1.2000 1.1400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.4010 0.2690 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5990 0.4010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5990 0.4010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5990 0.4010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5990 0.4010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00097 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51584 ESPARADRAPO MICROPORE 0.7700 0.7670 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51584 ESPARADRAPO MICROPORE 0.7700 0.7670 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.8931 0.0369 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.8931 0.0369 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 54653 DERSANI LC TP ML 19.4000 3.9700 15.4300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 54653 DERSANI LC TP ML 19.4000 3.9700 15.4300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 54653 DERSANI LC TP ML 19.4000 3.9600 15.4400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.1719 0.5181 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.1719 0.5181 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00090 SERINGA DESC 20 ML UN 0.5400 0.5100 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00090 SERINGA DESC 20 ML UN 0.5400 0.5080 0.0320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00090 SERINGA DESC 20 ML UN 0.5400 0.5080 0.0320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51379 SERINGA DESC 05 ML UN 0.1900 0.0274 0.1626 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00097 ABOCATH N 14 A 22 UN 3.7700 1.8832 1.8868 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2980 0.0220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 1.0926 1.4574 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 1.0925 1.4575 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.6807 0.9093 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.6807 0.9093 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2200 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.4580 0.3120 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.1339 2.2761 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.1339 2.2761 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.1339 2.2761 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.1339 2.2761 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00069 SERINGA DESC 10 ML UN 0.3300 0.3190 0.0110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00069 SERINGA DESC 10 ML UN 0.3300 0.3190 0.0110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00069 SERINGA DESC 10 ML UN 0.3300 0.3190 0.0110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00069 SERINGA DESC 10 ML UN 0.6700 0.6476 0.0224 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.4580 1.1520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1390 0.1210 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2540 0.2560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5065 0.0935 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5065 0.0935 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 54687 IODOPOVIDONA SD TP ML 0.4000 0.3400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 54687 IODOPOVIDONA SD TP ML 0.6000 0.5000 0.1000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3869 0.0131 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3869 0.0131 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.4575 0.2325 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248313941 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248313941 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.3719 0.2181 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.3719 0.2181 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.6700 0.6016 0.0684 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.5354 1.0746 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2100 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 1.0249 0.2551 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 10.1392 10.1408 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1930 0.1070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1830 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3476 0.0524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3476 0.0524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3476 0.0524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3476 0.0524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7040 0.1060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.7485 0.1315 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.7485 0.1315 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.7485 0.1315 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.5104 1.4296 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51662 Simeticona frasco c/15 ml 1.0500 1.0200 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51662 Simeticona frasco c/15 ml 1.0500 1.0200 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51662 Simeticona frasco c/15 ml 1.0500 1.0100 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51662 Simeticona frasco c/15 ml 1.0500 1.0100 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51662 Simeticona frasco c/15 ml 3.1500 3.0500 0.1000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 2.4600 11.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 2.4600 11.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 2.4600 11.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 2.4600 11.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 2.4600 11.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01491 FENITOINA 100 MG CP VO UN 0.1900 0.1800 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6061 0.0839 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6052 0.0848 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6052 0.0848 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 02246 HIDROCORTISONA 100 MG PO IM IV FA 5.6700 5.1365 0.5335 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 02246 HIDROCORTISONA 100 MG PO IM IV FA 5.6700 5.1365 0.5335 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 00069 SERINGA DESC 10 ML UN 0.3300 0.0000 0.3300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0000 0.1000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 0.0000 3.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51584 ESPARADRAPO MICROPORE 0.2600 0.2494 0.0106 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5900 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00098 ABOCATH N 14 A 22 UN 3.7700 0.0000 3.7700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00097 ABOCATH N 14 A 22 UN 7.5300 0.0000 7.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51584 ESPARADRAPO MICROPORE 0.5100 0.4680 0.0420 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51584 ESPARADRAPO MICROPORE 0.5100 0.4580 0.0520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.4580 0.0520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51219 ALENIA 1.1700 0.1670 1.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51219 ALENIA 1.1700 0.1670 1.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5407 0.0593 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4552 0.5048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4552 0.5048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4552 0.5048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0500 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2590 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8164 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.9970 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6660 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6660 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00124 LUVA CIRURGICA UN 1.4500 0.7238 0.7262 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7713 0.0387 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5654 0.0346 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5654 0.0346 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5654 0.0346 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.5600 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 01899 AMIODARONA 50 MG/ML 3ML SI IV AP 0.0000 4.3896 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.2399 0.0001 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 2.4900 2.4899 0.0001 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3018 0.0082 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51378 SERINGA DESC 03 ML UN 0.1500 0.0300 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51378 SERINGA DESC 03 ML UN 0.1500 0.0200 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00069 SERINGA DESC 10 ML UN 0.3300 0.1732 0.1568 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1400 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5491 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 40.5600 40.5567 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0300 0.0190 0.0110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1930 0.1070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1930 0.1070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3860 0.2140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51584 ESPARADRAPO MICROPORE 0.2600 0.1730 0.0870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 2.7200 0.0000 2.7200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51164 AGUA BIDESTILADA 500 ML 6.4300 6.4260 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3350 0.0650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3230 0.0770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3230 0.0770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 31640 SERTRALINA 50 MG CP VO UN 0.0000 1.3760 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 21261 TEICOPLANINA 400 MG + DIL. 3 ML PO 362.7200 362.7166 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 07293 DIPIRONA GOTAS 500 MG/ML SO VO GT 0.5300 0.5250 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 07293 DIPIRONA GOTAS 500 MG/ML SO VO GT 0.5300 0.5250 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 08460 EQUIPO P/ SOLUÇOES FOTOSSENSIVEIS U 0.0000 16.3969 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 63886 DIFENIDRAMINA 50mg/ml 1ml SI IM IV 14.2800 14.2752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 63886 DIFENIDRAMINA 50mg/ml 1ml SI IM IV 14.2800 14.2752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 10820 FILGRASTIM 300 MCG 1 ML SI IV SC 0.0000 523.3778 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00881 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.2652 0.0648 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00881 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.2652 0.0648 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00881 DEXCLORFENIRAMINA 2 MG CP VO UN 0.6500 0.5225 0.1275 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00838 HIDRALAZINA 50 MG DG VO UN 0.3200 0.2700 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00838 HIDRALAZINA 50 MG DG VO UN 0.3200 0.2600 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 1b6900e392526e15c11b5aec3b16d592 NATIVA NULL NULL 12341283718 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5468 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2550 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.5120 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 51379 SERINGA DESC 05 ML UN 0.8700 0.8700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5468 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 00919 ALGODAO HIDROFILO BOLINHA UN 0.3000 0.2944 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.5050 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 00097 ABOCATH N 14 A 22 UN 3.7700 3.7686 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 00919 ALGODAO HIDROFILO BOLINHA UN 0.2900 0.2816 0.0084 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4064 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7820 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5973 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.5120 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00919 ALGODAO HIDROFILO BOLINHA UN 0.5600 0.5120 0.0480 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.5020 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320508342 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320508342 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320508342 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283876047 00919 ALGODAO HIDROFILO BOLINHA UN 0.1300 0.1300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283876047 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283876047 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283876047 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.4100 0.4086 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1710 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.4000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 34584 CAPTOPRIL 50 MG CP VO UN 0.1600 0.1600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 73e4a44f4d56fac95aed807cb569d25b MARIO NULL NULL 12268522644 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 1.3700 1.3700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3400 0.3400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 06da7e6171666c282a23b6bfaea34946 ANA NULL NULL 12311962340 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0b0d528834878a853de575d6fda99575 ANDRE NULL NULL 12276785149 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.1000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2816 -0.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.9983 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6673 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 51584 ESPARADRAPO MICROPORE 0.2600 0.2560 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 14370 FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ 0.0000 6.6869 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 23914 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALV 4.9700 4.9698 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 5.7600 5.7588 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.8000 1.7961 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 29661 NOREPINEFRINA 2 MG/ML 4 ML SI IV A 37.9900 37.9856 0.0044 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 29661 NOREPINEFRINA 2 MG/ML 4 ML SI IV A 37.9900 37.9856 0.0044 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 29661 NOREPINEFRINA 2 MG/ML 4 ML SI IV A 37.9900 37.9856 0.0044 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.4043 -0.0043 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 6.8200 6.8085 0.0115 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00817 ALGODAO HIDROFILO BOLINHA UN 0.5356 0.5632 -0.0532 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 17310 IODOPOVIDONA ALCOOLICA SL TP ML 0.6000 0.6000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 17310 IODOPOVIDONA ALCOOLICA SL TP ML 0.9000 0.9000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 13757 IODOPOVIDONA SD TP ML 0.4000 0.4000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 13757 IODOPOVIDONA SD TP ML 0.4000 0.4000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 55018 ALGINATO DE CALCIO EM HIDROGEL GL 14.4900 15.1800 -1.3800 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33219 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6650 0.0050 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 29580 FRASCO P/NUTRIÇAO ENTERAL 300 LACRE 2.4700 2.4723 -0.0023 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 25030019 DISTURBIOS CIRCULATORIOS ARTERIO VE 0.0000 22.9264 NULL EXAMES COMPLEMENTARES NAO JUSTIFICA 0502
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 21261 TEICOPLANINA 400 MG + DIL. 3 ML PO 362.7200 362.7149 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 1.5900 1.5820 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 1.8000 1.8000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 1.8000 1.8000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 1.2000 1.2000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.6000 0.6000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.3000 0.3000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.3000 0.3000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33219 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 23914 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALV 3.7300 3.7278 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 23914 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALV 3.7300 3.7278 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.6000 0.5987 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.6000 0.5987 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.6000 0.5987 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.6000 0.5987 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33693 LEVOFLOXACINO 5 MG/ML 100 ML SI IV 105.6800 105.6772 0.0028 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00469 AGUA BIDESTILADA 250 ML SI IM IV 5.7900 5.7880 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 17310 IODOPOVIDONA ALCOOLICA SL TP ML 0.6000 0.6000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 17310 IODOPOVIDONA ALCOOLICA SL TP ML 1.8000 1.8000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 17310 IODOPOVIDONA ALCOOLICA SL TP ML 1.8000 1.8000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 37761 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0600 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1779 0.0121 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 56723 DIETA DIABETES (C/CARBOIDRATO DE AB 146.1200 146.2500 -5.8500 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27316 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.7037 -0.0037 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27316 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.7037 -0.0037 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 28959 DERSANI LC TP ML 29.1000 29.1000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 29580 FRASCO P/NUTRIÇAO ENTERAL 300 LACRE 2.4700 2.4723 -0.0023 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 29580 FRASCO P/NUTRIÇAO ENTERAL 300 LACRE 2.4700 2.4723 -0.0023 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 29580 FRASCO P/NUTRIÇAO ENTERAL 300 LACRE 2.4700 2.4723 -0.0023 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 23914 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALV 3.7300 3.7232 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 50598 ATROPINA 0,25 MG SI IV AP 0.4800 0.4842 -0.0042 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 50598 ATROPINA 0,25 MG SI IV AP 0.4800 0.4842 -0.0042 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 50598 ATROPINA 0,25 MG SI IV AP 0.4800 0.4842 -0.0042 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 41858 CLOPIDOGREL 75 MG CP VO UN 1.7900 1.7900 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 4.7900 4.7896 0.0004 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4055 0.0045 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4055 0.0045 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4055 0.0045 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4055 0.0045 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19135 SERINGA DESC 03 ML UN 0.1500 0.1500 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19135 SERINGA DESC 03 ML UN 0.1500 0.1500 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19135 SERINGA DESC 03 ML UN 0.1500 0.1500 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19135 SERINGA DESC 03 ML UN 0.1500 0.1500 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 30015 ACIDO ACETILSALICILICO 100 MG CP V 0.1400 0.1400 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 30015 ACIDO ACETILSALICILICO 100 MG CP V 0.1400 0.1400 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19143 SERINGA DESC 05 ML UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19143 SERINGA DESC 05 ML UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19143 SERINGA DESC 05 ML UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19143 SERINGA DESC 05 ML UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19143 SERINGA DESC 05 ML UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1813 0.0087 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 56723 DIETA DIABETES (C/CARBOIDRATO DE AB 143.1300 143.2600 -2.8600 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11363 ESCOPOLAMINA 20 MG/ML 1 ML SI IM I 1.0200 1.0239 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11363 ESCOPOLAMINA 20 MG/ML 1 ML SI IM I 1.0200 1.0239 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11363 ESCOPOLAMINA 20 MG/ML 1 ML SI IM I 1.0200 1.0239 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 20559 SORO FISIOLOGICO 0,9% 250 ML SI IV 3.9400 3.9447 -0.0047 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 20559 SORO FISIOLOGICO 0,9% 250 ML SI IV 3.9400 3.9447 -0.0047 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 20559 SORO FISIOLOGICO 0,9% 250 ML SI IV 3.9400 3.9447 -0.0047 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 20559 SORO FISIOLOGICO 0,9% 250 ML SI IV 3.9400 3.9447 -0.0047 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 14087 METRONIDAZOL 500 MG 100 ML SI IV B 7.0800 7.0809 -0.0009 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 14087 METRONIDAZOL 500 MG 100 ML SI IV B 7.0800 7.0809 -0.0009 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 14087 METRONIDAZOL 500 MG 100 ML SI IV B 7.0800 7.0809 -0.0009 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 09636 FLORATIL (SACCHAROMYCES BOULARDII) 4.4400 4.4429 -0.0029 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 31585 RANITIDINA 25 MG/ML 2 ML SI IV IM 0.9300 0.9337 -0.0037 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19151 SERINGA DESC 10 ML UN 0.3300 0.3331 -0.0031 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19151 SERINGA DESC 10 ML UN 0.3300 0.3331 -0.0031 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19151 SERINGA DESC 10 ML UN 0.3300 0.3331 -0.0031 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19151 SERINGA DESC 10 ML UN 0.3300 0.3331 -0.0031 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19151 SERINGA DESC 10 ML UN 0.3300 0.3331 -0.0031 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00817 ALGODAO HIDROFILO BOLINHA UN 0.5356 0.5632 -0.0532 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 3.8500 3.8464 0.0036 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 37761 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0600 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32891 EQUIPO POLIFIX 2ş VIAS UN 2.5500 2.5492 0.0008 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 1.5900 1.5884 0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27316 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.7037 -0.0037 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27316 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.7037 -0.0037 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 55018 ALGINATO DE CALCIO EM HIDROGEL GL 6.9000 6.9000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 55018 ALGINATO DE CALCIO EM HIDROGEL GL 20.7000 20.7000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 34487 MEROPENEM 1G PO IV FA 154.3800 154.3807 -0.0007 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 34487 MEROPENEM 1G PO IV FA 154.3800 154.3807 -0.0007 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 34487 MEROPENEM 1G PO IV FA 154.3800 154.3807 -0.0007 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 34487 MEROPENEM 1G PO IV FA 154.3800 154.3807 -0.0007 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 29580 FRASCO P/NUTRIÇAO ENTERAL 300 LACRE 2.4700 2.4723 -0.0023 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.2100 0.2149 -0.0049 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00943 EQUIPO POLIFIX 2 VIAS UN 5.1000 5.1000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00098 ABOCATH N 14 A 22 UN 3.7700 3.7613 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321471846 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321471846 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4090 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1860 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.3000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 51039 CITALOPRAN 20 MG CP VO UN 2.9000 4.3530 -1.4530 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 5.2800 5.2800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 2.6400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 1.1700 0.2130 0.9570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.5100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.5040 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00090 SERINGA DESC 20 ML UN 1.6100 1.6100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 51241 AGULHA 123X45 1.0287 0.3147 0.6354 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 51241 AGULHA 123X45 1.1500 0.3147 0.8354 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5852 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2fd28f5aa76be7aa2072537d0ba85951 ELAINE NULL NULL 12255258142 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7781a83504beb0f6fc1c86041782e8a1 ELODY NULL NULL 12320802443 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4046 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7781a83504beb0f6fc1c86041782e8a1 ELODY NULL NULL 12320802443 52386 CLORETO DE SODIO 20% 10 ML SI IV AP 0.5500 0.5453 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1848 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00037 AGULHA DESC 30 X 7 - 40X12 UN 2.2000 1.3386 0.8614 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51616 ANLODIPINO 10 MG CP VO UN 0.7100 0.7100 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51616 ANLODIPINO 10 MG CP VO UN 0.7100 0.7100 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51616 ANLODIPINO 10 MG CP VO UN 0.7100 0.7100 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 24571 CLINDAMICINA 600 MG 4 ML SI IM IV AP 52.3300 52.3300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 24571 CLINDAMICINA 600 MG 4 ML SI IM IV AP 52.3300 52.3300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00124 LUVA CIRURGICA UN 1.4500 1.4500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5852 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 56650 DIETA HIPERCALORICA HIPERPROTEICA S 85.0706 85.1440 -11.7440 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 9c457292aaeaf9fb2625e0716629becd ISABELLA NULL NULL 12263855845 00090 SERINGA DESC 20 ML UN 0.5400 0.5340 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 56391 SUCRALFATO 200 MG/ML 10 ML SO VO F 3.0200 3.0200 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00124 LUVA CIRURGICA UN 1.4500 1.4500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 20362 SONDA URETRAL N 10 UN 0.4300 0.4230 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 01583 NEOSTIGMINA 0,5 MG/ML 1 ML SI IM IV SC AP 0.7700 0.7700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 01313 MIDAZOLAM 1 MG/ML 5 ML SI IV AP 6.4500 6.4500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 5.8400 5.8400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 5.8400 5.8400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 5.8400 5.8310 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51584 ESPARADRAPO MICROPORE 0.5300 0.4909 0.0391 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 1.9600 1.1275 0.0125 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51230 AGULHA DESC 30 X 7 - 40X12 UN 3.1490 1.7700 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 3.1800 3.1800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 51584 ESPARADRAPO MICROPORE 0.2600 0.2520 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00090 SERINGA DESC 20 ML UN 2.6900 2.6900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c4ded5870d9f9e4fcca132088e427e19 JOSE NULL NULL 12255378848 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bfe0dce5ba78a927b1ddf0f5d8bcfddc JOSE NULL NULL 12263204342 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6826 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 34860 SULFAMETOXAZOL 400 MG + TRIMETOPRIM 0.3500 0.3500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 26999 GANCICLOVIR 500 MG + DIL. PO IV F 151.0400 151.0374 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 26999 GANCICLOVIR 500 MG + DIL. PO IV F 151.0400 151.0374 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 11940 INSULINA NPH/REGULAR SI SC UI 0.1000 0.1000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.2500 0.1408 0.1092 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3400 0.0939 0.2461 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3400 0.0939 0.2461 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3400 0.0939 0.2461 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3400 0.0939 0.2461 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3400 0.0939 0.2461 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3400 0.0939 0.2461 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3400 0.0939 0.2461 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248313941 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248313941 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 013b155943183fa582252ca154e5569f JUVELINA NULL NULL 12165747648 00111 ABOCATH N 14 A 22 UN 3.7700 3.7700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 20.9900 20.9900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00090 SERINGA DESC 20 ML UN 1.0800 1.0800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 1.8953 0.8599 0.4401 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 30813 DEXCLORFENIRAMINA 2 MG CP VO UN 0.6500 0.6504 -0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 30813 DEXCLORFENIRAMINA 2 MG CP VO UN 0.6500 0.6504 -0.0004 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 14460 DOMPERIDONA 10 MG CP VO UN 0.7800 0.7800 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0100 0.6758 0.3342 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01503 HIDRALAZINA 50 MG DG VO UN 0.3200 0.6400 -0.3200 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01503 HIDRALAZINA 50 MG DG VO UN 0.6400 0.6400 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 83.9500 83.9500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 20.9900 20.9900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1845 0.0855 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.3522 0.1678 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6826 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 00919 ALGODAO HIDROFILO BOLINHA UN 0.2900 0.2816 0.0084 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 00919 ALGODAO HIDROFILO BOLINHA UN 0.2900 0.2816 0.0084 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 00919 ALGODAO HIDROFILO BOLINHA UN 0.5300 0.5376 -0.0076 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 00919 ALGODAO HIDROFILO BOLINHA UN 0.5400 0.5376 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5868 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 51457 LIDOCAINA 2% S/ VASO SI PE SC ML 0.7000 0.6994 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.4000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5974 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 57355 ESCITALOPRAM 10 MG CP VO UN 1.5900 1.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 57355 ESCITALOPRAM 10 MG CP VO UN 1.5900 1.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 41.9800 41.9800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5852 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7860 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP 75.9700 75.9700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 52391 SONDA PLAST ASPIRAÇAO TRAQUEAL C/ VALVULA UN 3.7300 3.7300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 56650 DIETA HIPERCALORICA HIPERPROTEICA S 35.9700 35.9700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 21261 TEICOPLANINA 400 MG + DIL. 3 ML PO 362.7200 362.7200 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00031 AGULHA DESC 13 X 45 UN 4.4419 2.4984 0.0216 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00031 AGULHA DESC 13 X 45 UN 4.6319 2.6906 0.0194 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00407 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.8800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00407 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.8800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00407 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.8764 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dc0262e6d5010acfe6a18c66d0d30ed3 OSMIDA NULL NULL 12264720947 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 52386 CLORETO DE SODIO 20% 10 ML SI IV AP 1.1000 1.1000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9dbb8f82efe7a16aa84c856804bd479e SEBASTIAO NULL NULL 12228729249 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4028 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6cc91d0bae7ee80faf1515c3c1bc4604 OLGA NULL NULL 12241643640 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 160.3400 160.3330 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1363 0.1337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 54294 ZOLPIDEM 10 MG CP 1.2800 1.2800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f46c55d85311b267c39a3c36a11c1704 WILSON NULL NULL 12288777248 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2520 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 268049a93bd6b26b4f5b79b2e6ede297 SALVINA NULL NULL 12187025148 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 5.8400 5.8400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 09b825abc9ef518ba223f29f2bf7c07b WALDEMAR NULL NULL 12171249749 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.5100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 09b825abc9ef518ba223f29f2bf7c07b WALDEMAR NULL NULL 12171249749 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2540 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51208 SORO RINGER SIMPLES 500 ML SI IV BS 17.8100 17.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 1.0300 0.0000 1.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00031 AGULHA DESC 13 X 45 UN 0.6100 0.5813 0.0287 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00031 AGULHA DESC 13 X 45 UN 0.8000 0.7751 0.0249 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00919 ALGODAO HIDROFILO BOLINHA UN 0.3456 0.3072 0.0128 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1346 0.1354 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1346 0.1354 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 34614 ATORVASTATINA CALCICA 10 MG CP VO 1.4900 1.4900 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 34614 ATORVASTATINA CALCICA 10 MG CP VO 1.4900 1.4900 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 34614 ATORVASTATINA CALCICA 10 MG CP VO 1.4900 1.4900 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.4000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.7000 0.5286 0.1714 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6900 1.3214 0.3686 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 00090 SERINGA DESC 20 ML UN 1.0800 1.0800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 2.9000 2.8950 0.0050 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 4.3400 4.3425 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 8.6900 8.6850 0.0050 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 00817 ALGODAO HIDROFILO BOLINHA UN 0.5612 0.5888 -0.0788 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 37761 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0600 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 37761 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0600 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 2.5600 2.5600 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 00272 EPINEFRINA 1 MG/ML 1 ML SI IM IV S 0.0000 0.9838 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 15010023 Hemodiálise (Por Sessão) NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 15010023 Hemodiálise (Por Sessão) NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 56928 MODULO DE PROTEINAS DO SORO DO LEIT 0.0000 6.6000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00170 SORO GLICOSADO 5% 250 ML SI IV BS NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00170 SORO GLICOSADO 5% 250 ML SI IV BS NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51439 MEROPENEM 1G PO IV FA NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51439 MEROPENEM 1G PO IV FA NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51439 MEROPENEM 1G PO IV FA NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51673 ALGINATO DE CALCIO EM HIDROGEL GL TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51673 ALGINATO DE CALCIO EM HIDROGEL GL TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 55968 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00796 FLORATIL (SACCHAROMYCES BOULARDII) 200 MG PO VO NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00796 FLORATIL (SACCHAROMYCES BOULARDII) 200 MG PO VO NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00211 ESCOPOLAMINA 20 MG/ML 1 ML SI IM IV SC AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 03280 CLOREXIDINA 2 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0260 0.0740 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0260 0.0740 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0260 0.0740 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0260 0.0740 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0470 0.1330 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0470 0.1330 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51241 AGULHA 123X45 0.1900 0.0500 0.1400 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 04242 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 0.0000 3.2509 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.3567 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.3567 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.3567 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.3567 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.3567 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.3567 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.3567 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.7224 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.7224 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.7224 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.7224 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51240 FITA ADVANTAGE P/ GLICOSE UN 0.0000 2.5870 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51379 SERINGA DESC 05 ML UN 0.0000 1.5376 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51419 FILTRO DE BARREIRA 0.0000 8.0000 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1055123 61fd80435c4278b11d9c8303654f21e8 JOAQUIM NULL NULL 12206898835 19160 SERINGA DESC 20 ML UN 0.0000 0.5380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 61fd80435c4278b11d9c8303654f21e8 JOAQUIM NULL NULL 12206898835 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9984 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.6200 0.6328 -0.0128 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 61fd80435c4278b11d9c8303654f21e8 JOAQUIM NULL NULL 12206898835 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51514 ATORVASTATINA CALCICA 40 MG CP VO UN 0.0000 2.4700 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51419 FILTRO DE BARREIRA 0.0000 8.0000 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51240 FITA ADVANTAGE P/ GLICOSE UN 0.0000 2.5870 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51240 FITA ADVANTAGE P/ GLICOSE UN 0.0000 2.5870 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51240 FITA ADVANTAGE P/ GLICOSE UN 0.0000 2.5870 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.3567 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.3567 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.3567 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00467 CLORIDRATO DE LIDOCAINA GENERICO Restrito Hosp. 0.0000 0.0000 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.0000 0.9609 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 000435 TAXA DE RESPIRADOR A VOLUME (MAI) 0.0000 840.7100 NULL COBRANCA DE TAXA POR USO DE EQUIPAMENTO INCOMPATIVEL COM O PROCEDIMENTO REALIZADO/USO PREVISTO NO PROCEDIMENTO 2402
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 04242 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 0.0000 3.2509 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 36731 Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) 0.0000 38.4000 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 36731 Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) 0.0000 16.0000 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51241 AGULHA 123X45 0.1900 0.0500 0.1400 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0470 0.1330 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51378 SERINGA DESC 03 ML UN 0.1500 0.0390 0.1110 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51378 SERINGA DESC 03 ML UN 0.1500 0.0390 0.1110 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0260 0.0740 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0260 0.0740 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00564 ATROPINA 0,25 MG SI IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51649 ALCOOL ETILICO 70 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00211 ESCOPOLAMINA 20 MG/ML 1 ML SI IM IV SC AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 03280 CLOREXIDINA 2 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 03280 CLOREXIDINA 2 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 03280 CLOREXIDINA 2 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00796 FLORATIL (SACCHAROMYCES BOULARDII) 200 MG PO VO NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00796 FLORATIL (SACCHAROMYCES BOULARDII) 200 MG PO VO NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00706 METRONIDAZOL 500 MG 100 ML SI IV BS NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00170 SORO GLICOSADO 5% 250 ML SI IV BS NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00170 SORO GLICOSADO 5% 250 ML SI IV BS NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 56928 MODULO DE PROTEINAS DO SORO DO LEIT 0.0000 6.6000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 56804 DIETA SEMI ELEMENTAR 1.0 KCAL/ML EM 0.0000 78.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 11193 CLOREXIDINA 2 % ST TP ML 0.9051 0.9194 -0.1194 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 1.5900 1.5884 0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 37761 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0600 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 32891 EQUIPO POLIFIX 2ş VIAS UN 2.5500 2.5492 0.0008 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.2300 0.2056 0.0244 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.2300 0.3085 -0.0785 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3907 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 00090 SERINGA DESC 20 ML UN 0.5400 0.5340 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51164 AGUA BIDESTILADA 500 ML 6.4300 6.4238 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00169 SORO GLICOSADO 5% 500 ML SI IV BS 10.3800 10.3720 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 34614 ATORVASTATINA CALCICA 10 MG CP VO 1.4900 1.4900 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 34614 ATORVASTATINA CALCICA 10 MG CP VO 1.4900 1.4900 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1224 0.1476 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1346 0.1354 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2816 -0.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3070 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5935 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00919 ALGODAO HIDROFILO BOLINHA UN 0.3612 0.3328 -0.0228 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00031 AGULHA DESC 13 X 45 UN 0.8000 0.7751 0.0249 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9313 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 09b825abc9ef518ba223f29f2bf7c07b WALDEMAR NULL NULL 12171249749 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5868 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 57266 FUMARATO DE QUETIAPINA 100 MG CP 8.6100 8.6076 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 57266 FUMARATO DE QUETIAPINA 100 MG CP 8.6100 8.6076 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 268049a93bd6b26b4f5b79b2e6ede297 SALVINA NULL NULL 12187025148 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 5.8400 5.8380 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1239 0.1461 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1363 0.1337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00111 ABOCATH N 14 A 22 UN 3.7700 3.7624 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5804 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6cc91d0bae7ee80faf1515c3c1bc4604 OLGA NULL NULL 12241643640 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2520 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00031 AGULHA DESC 13 X 45 UN 0.7700 0.5808 0.1892 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dc0262e6d5010acfe6a18c66d0d30ed3 OSMIDA NULL NULL 12264720947 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dc0262e6d5010acfe6a18c66d0d30ed3 OSMIDA NULL NULL 12264720947 00090 SERINGA DESC 20 ML UN 0.5400 0.5360 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dc0262e6d5010acfe6a18c66d0d30ed3 OSMIDA NULL NULL 12264720947 00919 ALGODAO HIDROFILO BOLINHA UN 0.3100 0.3080 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dc0262e6d5010acfe6a18c66d0d30ed3 OSMIDA NULL NULL 12264720947 00919 ALGODAO HIDROFILO BOLINHA UN 0.5500 0.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51584 ESPARADRAPO MICROPORE 0.2700 0.2560 0.0140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51584 ESPARADRAPO MICROPORE 0.2700 0.2560 0.0140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51584 ESPARADRAPO MICROPORE 0.2700 0.2816 -0.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 56650 DIETA HIPERCALORICA HIPERPROTEICA S 73.4000 73.4000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 52391 SONDA PLAST ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.2357 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 3.7300 3.7300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.4000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 1.0200 1.0200 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.2600 0.2600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 00124 LUVA CIRURGICA UN 1.4500 1.4450 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 54294 ZOLPIDEM 10 MG CP 1.2800 1.2800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00031 AGULHA DESC 13 X 45 UN 0.6400 0.5823 0.0577 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 19500 METILPREDNISOLONA (SUCCINATO SODICO 97.1500 97.1454 0.0046 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 19500 METILPREDNISOLONA (SUCCINATO SODICO 97.1500 97.1454 0.0046 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 19500 METILPREDNISOLONA (SUCCINATO SODICO 97.1500 97.1454 0.0046 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.4000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5852 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 14460 DOMPERIDONA 10 MG CP VO UN 0.7800 0.7800 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 30813 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.3252 0.0048 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 30813 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.3252 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51241 AGULHA 123X45 1.6259 1.0378 0.2422 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51241 AGULHA 123X45 1.5989 1.0378 0.0422 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 31291 METRONIZADOL 250 MG CP VO UN 0.2200 0.2200 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 31291 METRONIZADOL 250 MG CP VO UN 0.2200 0.2200 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 013b155943183fa582252ca154e5569f JUVELINA NULL NULL 12165747648 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 013b155943183fa582252ca154e5569f JUVELINA NULL NULL 12165747648 00111 ABOCATH N 14 A 22 UN 3.7700 3.7624 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 013b155943183fa582252ca154e5569f JUVELINA NULL NULL 12165747648 00919 ALGODAO HIDROFILO BOLINHA UN 0.1300 0.1300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3400 0.0939 0.2461 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3400 0.0939 0.2461 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3400 0.0939 0.2461 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3400 0.0939 0.2461 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3400 0.0939 0.2461 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 11940 INSULINA NPH/REGULAR SI SC UI 0.9000 0.9000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 26999 GANCICLOVIR 500 MG + DIL. PO IV F 151.0400 151.0374 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 34860 SULFAMETOXAZOL 400 MG + TRIMETOPRIM 0.3500 0.3500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bfe0dce5ba78a927b1ddf0f5d8bcfddc JOSE NULL NULL 12263204342 12262 ISOSSORBIDA 20 MG CP VO UN 0.4300 0.4300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bfe0dce5ba78a927b1ddf0f5d8bcfddc JOSE NULL NULL 12263204342 52216 GLICOSE 50% 20 ML SI IV AP 5.3400 5.3400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bfe0dce5ba78a927b1ddf0f5d8bcfddc JOSE NULL NULL 12263204342 00069 SERINGA DESC 10 ML UN 0.3300 0.3255 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 51584 ESPARADRAPO MICROPORE 0.2600 0.2600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 51584 ESPARADRAPO MICROPORE 0.7700 0.7700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8200 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 13.6300 13.6300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 17.0400 17.0400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9c457292aaeaf9fb2625e0716629becd ISABELLA NULL NULL 12263855845 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.5100 0.5094 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 1.9600 1.1275 0.0125 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 1.9600 1.1275 0.0125 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00919 ALGODAO HIDROFILO BOLINHA UN 0.2800 0.2560 0.0240 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00919 ALGODAO HIDROFILO BOLINHA UN 0.2800 0.2816 -0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00919 ALGODAO HIDROFILO BOLINHA UN 0.2800 0.2816 -0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51584 ESPARADRAPO MICROPORE 0.5300 0.5154 0.0146 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51584 ESPARADRAPO MICROPORE 0.5300 0.5154 0.0146 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 5.8400 5.8400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 5.8400 5.8400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 00096 ABOCATH N 14 A 22 UN 3.7700 3.7700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 20362 SONDA URETRAL N 10 UN 0.4300 0.4300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9c457292aaeaf9fb2625e0716629becd ISABELLA NULL NULL 12263855845 51208 SORO RINGER SIMPLES 500 ML SI IV BS 17.8100 17.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51616 ANLODIPINO 10 MG CP VO UN 0.7100 0.7100 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 21261 TEICOPLANINA 400 MG + DIL. 3 ML PO 362.7200 362.7183 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7781a83504beb0f6fc1c86041782e8a1 ELODY NULL NULL 12320802443 52386 CLORETO DE SODIO 20% 10 ML SI IV AP 0.5500 0.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2fd28f5aa76be7aa2072537d0ba85951 ELAINE NULL NULL 12255258142 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2fd28f5aa76be7aa2072537d0ba85951 ELAINE NULL NULL 12255258142 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.7100 0.7060 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 29762 CISATRACURIO 20 MG 10 ML SI IV AP 58.8400 58.8400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 20362 SONDA URETRAL N 10 UN 0.4300 0.4230 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 2.6400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 5.8400 5.8400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12234060246 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 52386 CLORETO DE SODIO 20% 10 ML SI IV AP 0.5500 0.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321471846 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5868 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51241 AGULHA 123X45 3.0613 1.9225 0.1775 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00098 ABOCATH N 14 A 22 UN 3.7700 3.7700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 03280 CLOREXIDINA 2 % ST TP ML 0.8000 0.8020 -0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12190351843 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12190351843 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 34487 MEROPENEM 1G PO IV FA 463.1400 463.1421 -0.0021 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 34487 MEROPENEM 1G PO IV FA 154.3800 154.3807 -0.0007 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 55018 ALGINATO DE CALCIO EM HIDROGEL GL 6.9000 6.9000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11193 CLOREXIDINA 2 % ST TP ML 0.5300 0.5320 -0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32891 EQUIPO POLIFIX 2ş VIAS UN 2.5500 2.5492 0.0008 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 37761 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0600 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 2.8800 2.8848 -0.0048 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 2.8800 2.8848 -0.0048 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.4800 0.4808 -0.0008 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00817 ALGODAO HIDROFILO BOLINHA UN 0.5612 0.5888 -0.0788 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19151 SERINGA DESC 10 ML UN 0.6700 0.6662 0.0038 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19151 SERINGA DESC 10 ML UN 0.3300 0.3331 -0.0031 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19151 SERINGA DESC 10 ML UN 0.3300 0.3331 -0.0031 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19151 SERINGA DESC 10 ML UN 0.3300 0.3331 -0.0031 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19151 SERINGA DESC 10 ML UN 0.3300 0.3331 -0.0031 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19151 SERINGA DESC 10 ML UN 0.3300 0.3331 -0.0031 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 57495 FILTRO BARREIRA E REGENERADOR DE CA 24.0000 24.0000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 31585 RANITIDINA 25 MG/ML 2 ML SI IV IM 0.9300 0.9337 -0.0037 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 31585 RANITIDINA 25 MG/ML 2 ML SI IV IM 0.9300 0.9337 -0.0037 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 09636 FLORATIL (SACCHAROMYCES BOULARDII) 4.4400 4.4429 -0.0029 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 09636 FLORATIL (SACCHAROMYCES BOULARDII) 4.4400 4.4429 -0.0029 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 09636 FLORATIL (SACCHAROMYCES BOULARDII) 4.4400 4.4429 -0.0029 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 14087 METRONIDAZOL 500 MG 100 ML SI IV B 7.0800 7.0809 -0.0009 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 14087 METRONIDAZOL 500 MG 100 ML SI IV B 7.0800 7.0809 -0.0009 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33219 LUVA DE PROCEDIMENTO UNIDADE UN 1.6900 1.6650 0.0250 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33219 LUVA DE PROCEDIMENTO UNIDADE UN 1.6900 1.6650 0.0250 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 20559 SORO FISIOLOGICO 0,9% 250 ML SI IV 3.9400 3.9447 -0.0047 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 20559 SORO FISIOLOGICO 0,9% 250 ML SI IV 3.9400 3.9447 -0.0047 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11363 ESCOPOLAMINA 20 MG/ML 1 ML SI IM I 1.0200 1.0239 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 56723 DIETA DIABETES (C/CARBOIDRATO DE AB 143.0000 143.1300 -2.7300 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 56723 DIETA DIABETES (C/CARBOIDRATO DE AB 143.0000 143.1300 -2.7300 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 56723 DIETA DIABETES (C/CARBOIDRATO DE AB 143.1300 143.2600 -2.8600 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1813 0.0087 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1813 0.0087 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1813 -0.0013 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1813 -0.0013 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1813 -0.0013 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1813 -0.0013 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1813 -0.0013 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1813 -0.0013 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19143 SERINGA DESC 05 ML UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19143 SERINGA DESC 05 ML UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19143 SERINGA DESC 05 ML UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19135 SERINGA DESC 03 ML UN 0.1500 0.1500 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19135 SERINGA DESC 03 ML UN 0.1500 0.1500 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19135 SERINGA DESC 03 ML UN 0.1500 0.1500 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19135 SERINGA DESC 03 ML UN 0.1500 0.1500 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19135 SERINGA DESC 03 ML UN 0.1500 0.1500 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 50598 ATROPINA 0,25 MG SI IV AP 0.4800 0.4842 -0.0042 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 50598 ATROPINA 0,25 MG SI IV AP 0.4800 0.4842 -0.0042 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 50598 ATROPINA 0,25 MG SI IV AP 0.4800 0.4842 -0.0042 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 50598 ATROPINA 0,25 MG SI IV AP 0.4800 0.4842 -0.0042 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 50598 ATROPINA 0,25 MG SI IV AP 0.4800 0.4842 -0.0042 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 01929 ATROPINA 0,50 MG SI IV AP 0.0000 0.6489 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 55018 ALGINATO DE CALCIO EM HIDROGEL GL 7.5900 8.2800 -1.3800 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 28959 DERSANI LC TP ML 9.7000 10.6700 -0.9700 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 47813 COLAGENASE PM TP GR 20.1639 21.7182 -6.2082 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 13757 IODOPOVIDONA SD TP ML 0.4000 0.4000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 13757 IODOPOVIDONA SD TP ML 0.2000 0.2000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27316 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.7037 -0.0037 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 56723 DIETA DIABETES (C/CARBOIDRATO DE AB 146.2500 146.3800 -5.9800 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 37761 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0600 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 17310 IODOPOVIDONA ALCOOLICA SL TP ML 1.8000 1.8000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 17310 IODOPOVIDONA ALCOOLICA SL TP ML 1.5000 1.5000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 17310 IODOPOVIDONA ALCOOLICA SL TP ML 0.6000 0.6000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00817 ALGODAO HIDROFILO BOLINHA UN 0.5356 0.5632 -0.0532 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00469 AGUA BIDESTILADA 250 ML SI IM IV 5.7900 5.7880 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33693 LEVOFLOXACINO 5 MG/ML 100 ML SI IV 105.6800 105.6772 0.0028 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33693 LEVOFLOXACINO 5 MG/ML 100 ML SI IV 105.6800 105.6772 0.0028 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.6000 0.5987 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 3.8500 3.8464 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 3.8500 3.8464 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.3000 0.3000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.6000 0.6000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.9000 0.9000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 1.2000 1.2000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33219 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6650 0.0050 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 40.5600 40.5568 0.0032 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 13757 IODOPOVIDONA SD TP ML 0.4000 0.4000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 13757 IODOPOVIDONA SD TP ML 0.4000 0.4000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27316 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.7037 -0.0037 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27316 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.7037 -0.0037 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27316 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.7037 -0.0037 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 17310 IODOPOVIDONA ALCOOLICA SL TP ML 0.6000 0.6000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.4043 -0.0043 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.6000 0.5987 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20672 SORO RINGER SIMPLES 500 ML SI IV 5.9400 5.9366 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 32891 EQUIPO POLIFIX 2ş VIAS UN 2.5500 2.5404 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 00471 LIDOCAINA 2% GE OU TP GR 15.5600 7.3550 8.2050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6673 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.5120 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2560 0.0140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dee5a0d03c4673fe8898c0a0fff00916 ANA NULL NULL 12276505648 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6826 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0b0d528834878a853de575d6fda99575 ANDRE NULL NULL 12276785149 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2540 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 06da7e6171666c282a23b6bfaea34946 ANA NULL NULL 12311962340 09340 LEVOFLOXACINO 5 MG/ML 100 ML SI IV BS 105.6800 105.6800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 06da7e6171666c282a23b6bfaea34946 ANA NULL NULL 12311962340 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.6494 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 73e4a44f4d56fac95aed807cb569d25b MARIO NULL NULL 12268522644 00124 LUVA CIRURGICA UN 1.4500 1.4450 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 73e4a44f4d56fac95aed807cb569d25b MARIO NULL NULL 12268522644 00124 LUVA CIRURGICA UN 1.4500 1.4500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 34584 CAPTOPRIL 50 MG CP VO UN 0.1600 0.1600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3990 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.5100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283876047 00069 SERINGA DESC 10 ML UN 0.3300 0.3300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5868 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 00919 ALGODAO HIDROFILO BOLINHA UN 0.5700 0.5640 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5868 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 00919 ALGODAO HIDROFILO BOLINHA UN 0.5500 0.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.4000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 41.9800 41.9790 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 41.9800 41.9800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 83.9500 83.9500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2816 -0.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00919 ALGODAO HIDROFILO BOLINHA UN 0.3000 0.2560 0.0440 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2816 -0.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9984 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 93ab10613d6a84b2e98ec68d66f5f061 LEOVEGILDO NULL NULL 12184124349 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 54294 ZOLPIDEM 10 MG CP 1.2800 1.2800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.2600 0.2600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 41.9800 41.9800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51230 AGULHA DESC 30 X 7 - 40X12 UN 4.3200 3.1300 1.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00838 HIDRALAZINA 50 MG DG VO UN 0.3200 0.2600 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00838 HIDRALAZINA 50 MG DG VO UN 0.3200 0.2600 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00838 HIDRALAZINA 50 MG DG VO UN 0.3200 0.2700 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00838 HIDRALAZINA 50 MG DG VO UN 0.3200 0.2700 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00881 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.2652 0.0648 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02735 TARGOCID (TEICOPLANINA) 400 MG 3 ML PO IM IV FA 362.7200 181.3591 181.3609 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02735 TARGOCID (TEICOPLANINA) 400 MG 3 ML PO IM IV FA 362.7200 181.3591 181.3609 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 05274 AMOXICILINA 500 MG + CLAVULANATO 12 3.1700 3.1660 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 60836 KIT PARA ULTRASSONOGRAFIA INTRACORO 0.0000 3597.8799 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 12408 KANAKION (FITOMENADIONA) 10 MG/ML 1 0.0000 1.8658 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 21261 TEICOPLANINA 400 MG + DIL. 3 ML PO 362.7200 362.7166 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 11193 CLOREXIDINA 2 % ST TP ML 0.8000 0.7960 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 29840 ETOMIDATO 2 MG/ML 10 ML SI IV AP 0.0000 16.1771 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 21261 TEICOPLANINA 400 MG + DIL. 3 ML PO 362.7200 362.7166 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 31640 SERTRALINA 50 MG CP VO UN 0.0000 1.3760 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 31640 SERTRALINA 50 MG CP VO UN 0.0000 1.3760 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 34860 SULFAMETOXAZOL 400 MG + TRIMETOPRIM 0.3500 0.3480 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 30813 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.3252 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3230 0.0770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3230 0.0770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3230 0.0770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3230 0.0770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51164 AGUA BIDESTILADA 500 ML 6.4300 6.4260 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51164 AGUA BIDESTILADA 500 ML 6.4300 6.4260 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51164 AGUA BIDESTILADA 500 ML 6.4300 6.4260 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 2.0400 0.0000 2.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51584 ESPARADRAPO MICROPORE 0.5100 0.3400 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51584 ESPARADRAPO MICROPORE 0.5100 0.3400 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3860 0.2140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3860 0.2140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3860 0.2140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 60.8400 60.8351 0.0049 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51378 SERINGA DESC 03 ML UN 0.1500 0.0300 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51378 SERINGA DESC 03 ML UN 0.1500 0.0300 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51378 SERINGA DESC 03 ML UN 0.1500 0.0300 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1750 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00091 SERINGA DESC 01 ML (INSULINA) UN 1.2300 1.1977 0.0323 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00091 SERINGA DESC 01 ML (INSULINA) UN 0.9200 0.8958 0.0242 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00124 LUVA CIRURGICA UN 2.9000 2.6300 0.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00124 LUVA CIRURGICA UN 1.4500 1.3100 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00124 LUVA CIRURGICA UN 1.4500 1.3200 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00124 LUVA CIRURGICA UN 1.4500 1.3200 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00124 LUVA CIRURGICA UN 1.4500 1.3200 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 2.4900 2.4899 0.0001 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.2399 0.0001 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.2399 0.0001 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.5600 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.5600 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.5600 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5654 0.0346 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5654 0.0346 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5654 0.0346 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 51584 ESPARADRAPO MICROPORE 0.2600 0.2570 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.9970 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 25722 OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA 19.5800 19.5771 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4552 0.5048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4552 0.5048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4552 0.5048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4552 0.5048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4552 0.5048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4552 0.5048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5407 0.0593 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5407 0.0593 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5407 0.0593 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51219 ALENIA 1.1700 0.1670 1.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51219 ALENIA 1.1700 0.1670 1.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.4996 0.5004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5900 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5900 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5900 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5900 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0000 0.1000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 00069 SERINGA DESC 10 ML UN 0.3300 0.0000 0.3300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 02246 HIDROCORTISONA 100 MG PO IM IV FA 11.3400 10.2730 1.0670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 2.5637 0.2663 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 2.5637 0.2663 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 2.5637 0.2663 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6052 0.0848 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6052 0.0848 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6052 0.0848 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6052 0.0848 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6052 0.0848 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6052 0.0848 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 54685 POLVIDINE ALCOOLICA 0.6000 0.4600 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01491 FENITOINA 100 MG CP VO UN 0.1900 0.1800 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 2.4600 11.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 2.4600 11.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 2.4600 11.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 2.4600 11.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 2.4600 11.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 2.4600 11.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 2.4600 11.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 2.4600 11.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51662 Simeticona frasco c/15 ml 1.0500 1.0200 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51662 Simeticona frasco c/15 ml 1.0500 1.0200 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51662 Simeticona frasco c/15 ml 1.0500 1.0200 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.5096 1.4304 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.4080 0.2120 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3670 0.2330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1830 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1830 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1830 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1830 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1930 0.1070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0600 0.0500 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 1.0249 0.2551 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2000 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 1.3300 1.1942 0.1358 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248313941 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.5930 0.0770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3869 0.0131 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3884 0.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 54653 DERSANI LC TP ML 19.4000 5.8200 13.5800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 54653 DERSANI LC TP ML 19.4000 5.8200 13.5800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.0131 0.1869 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51584 ESPARADRAPO MICROPORE 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51584 ESPARADRAPO MICROPORE 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.4580 1.1520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00069 SERINGA DESC 10 ML UN 0.3300 0.3190 0.0110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00069 SERINGA DESC 10 ML UN 0.3300 0.3190 0.0110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.1339 2.2761 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 1.1305 2.2695 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2100 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2100 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 16.8980 3.3820 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.6807 0.9093 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00943 EQUIPO POLIFIX 2 VIAS UN 7.6500 3.2775 4.3725 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 1.1896 0.0904 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 1.1896 0.0904 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 1.1896 0.0904 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.1430 0.5270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.1430 0.5270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.1430 0.5270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1540 0.0260 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51379 SERINGA DESC 05 ML UN 0.1900 0.0274 0.1626 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51379 SERINGA DESC 05 ML UN 0.1900 0.0274 0.1626 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00090 SERINGA DESC 20 ML UN 0.5400 0.5080 0.0320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51240 FITA ADVANTAGE P/ GLICOSE UN 7.7600 7.7500 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 54653 DERSANI LC TP ML 19.4000 3.9700 15.4300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 54653 DERSANI LC TP ML 19.4000 3.9700 15.4300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.8931 0.0369 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.8931 0.0369 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51208 SORO RINGER SIMPLES 500 ML SI IV BS 17.8100 8.9074 8.9026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 1.2800 1.2760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51584 ESPARADRAPO MICROPORE 0.7700 0.7670 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51584 ESPARADRAPO MICROPORE 0.7700 0.7670 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51584 ESPARADRAPO MICROPORE 0.2600 0.2590 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.4030 0.2670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.2707 0.3193 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 54989 LUFTAL (SIMETICONA) EM VO GT 1.2000 1.1400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00404 LACTULOSE 667 MG/ML XP VO ML 8.5800 8.5700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 2.3900 2.3884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.8880 0.7820 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4487 0.5113 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 3.7500 2.1800 1.5700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 3.7500 2.1800 1.5700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2760 0.2040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2760 0.2040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2760 0.2040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2760 0.2040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51475 FUMARATO DE QUETIAPINA 25 MG CA VO UN 1.2500 1.2471 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8095 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8095 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3400 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3400 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3400 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 02252 METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL 15.2800 15.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 02252 METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL 15.2800 15.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 02252 METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL 15.2800 15.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 2.0600 2.0595 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9821 0.4279 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9821 0.4279 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.5110 0.2590 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 51584 ESPARADRAPO MICROPORE 0.7700 0.5140 0.2560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3000 0.1000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7500 0.2500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.9000 0.1680 0.7320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1323 0.0477 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1920 0.0680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.1366 2.2734 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3640 0.0360 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3640 0.0360 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5820 0.4180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5820 0.4180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 51379 SERINGA DESC 05 ML UN 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0600 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.0200 0.7100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.0200 0.7100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2400 0.1600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2500 0.1500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.2840 0.7160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1229 0.0571 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00090 SERINGA DESC 20 ML UN 0.5400 0.2090 0.3310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00090 SERINGA DESC 20 ML UN 0.5400 0.2090 0.3310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00090 SERINGA DESC 20 ML UN 0.5400 0.2090 0.3310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1020 0.1580 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2459 0.0641 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2459 0.0641 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 21245 TIAMAZOL 5 MG CP VO UN 0.5000 0.4989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 21245 TIAMAZOL 5 MG CP VO UN 0.5000 0.4989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 21245 TIAMAZOL 5 MG CP VO UN 0.5000 0.4989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 31828 PREDNISONA 20 MG CP VO UN 0.7500 0.7480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 31828 PREDNISONA 20 MG CP VO UN 0.7500 0.7480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 31828 PREDNISONA 20 MG CP VO UN 0.7500 0.7480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 09b825abc9ef518ba223f29f2bf7c07b WALDEMAR NULL NULL 12171249749 01899 AMIODARONA 50 MG/ML 3ML SI IV AP 0.0000 4.3896 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 01740 ATADURA CREPOM 15 CM UN 0.0000 1.1657 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 34010130 TOMOGRAFIA COMPUTADORIZADA DO TORAX 0.0000 280.6875 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283876047 07510 MIDAZOLAM 1 MG/ML 5 ML SI IV AP 0.0000 6.4490 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283876047 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 19763 SONDA FOLEY 2 VIAS Nş 16 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 73e4a44f4d56fac95aed807cb569d25b MARIO NULL NULL 12268522644 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 73e4a44f4d56fac95aed807cb569d25b MARIO NULL NULL 12268522644 19160 SERINGA DESC 20 ML UN 0.0000 1.0760 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 33227 LUVA CIRURGICA UN 0.0000 1.4475 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 f685e09d052377a3e37cdc0156d85f6f LIA NULL NULL 12325737230 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 02461 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.0000 0.4255 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 49093 AGULHA P/ RAQUI 25G X 3,5 UN 0.0000 13.2584 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276680110 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 a1fdd21cd8fbd02e31350f0a5890f317 MARIA NULL NULL 12265413619 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 914bc9327f7a19dc5aca481124bd9efb MARIA NULL NULL 12255218817 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 d4dbfd05ca467c79165606fc7735e38f MARIA NULL NULL 12311545418 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 e17d70debb66eda2dee1ee01861ce0fd MARIA NULL NULL 12309932218 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 734612c551b837fa6a288126bac538d4 MARIA NULL NULL 12255394117 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 2a1cd46c269f0a9b01366f6ffa67b029 MARIA NULL NULL 12268369612 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 6e60d9eeebd8be5ff2fa133905314a32 LUDMILLA NULL NULL 12258540710 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 5e7307bb9c2cd212892dba6b41dc36d4 LUCIANA NULL NULL 12339665115 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276138119 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 c4ded5870d9f9e4fcca132088e427e19 JOSE NULL NULL 12255372316 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 ae7d62f384cbc6dcac8b0608b6e410d3 JONEVAL NULL NULL 12250743215 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 51c1cd7bf95e67c465e8eac45d6e828c JAQUELLINY NULL NULL 12254445712 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 afb55c8be5f6cc50fb22f7a5aa0cd72f JACQUELINE NULL NULL 12277567313 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 a7bb548f3353cba5fac1c27ef7fcd943 JACKSON NULL NULL 12281474112 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 0e358649640a7e6d1acf9e55a6478c02 IVONI NULL NULL 12312469615 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 c654a159dbc0c14449a0d441c58c8102 IRENE NULL NULL 12342885110 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 cf422417037371070cc7d01612455542 INES NULL NULL 12336798913 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 f75b8a3ca92d2c95e65d2fff98be2d29 FRANCISCO NULL NULL 12270744013 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 67a46824f2cf0b91a183cec589917ec4 ELIZETE NULL NULL 12343512417 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259226218 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 3b8a936ea94dad4fcc4c7d08f49543d7 ARIOVALDO NULL NULL 12315955610 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 4801bff91aa378d602e036921b93b70f ANA NULL NULL 12324514310 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 c0463a44d3716188b7b8b700026310e1 ANA NULL NULL 12277695618 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 ca2218441c8d199ca53f2688b67ab380 ANA NULL NULL 12276766519 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281439230 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 a1fdd21cd8fbd02e31350f0a5890f317 MARIA NULL NULL 12265559337 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3100 0.3055 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 a1fdd21cd8fbd02e31350f0a5890f317 MARIA NULL NULL 12265559337 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8945839593ea1e2b2001473532c73738 KAYKY NULL NULL 12264467437 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8945839593ea1e2b2001473532c73738 KAYKY NULL NULL 12264467437 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 855b5eec2465ffe6bde8bad4f7ccdc93 ANDREIA NULL NULL 12321680935 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d71f6961e3a28cee1dfd231f9d4a6f96 ISABELLA NULL NULL 12312539934 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 002e84540426cd384f5b22f477994999 STEPHANIE NULL NULL 12277394230 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 002e84540426cd384f5b22f477994999 STEPHANIE NULL NULL 12277394230 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 002e84540426cd384f5b22f477994999 STEPHANIE NULL NULL 12277394230 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281439230 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.4500 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 2.3673 2.3627 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2820 0.1180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2820 0.1180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.4786 0.9314 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00541 AMIODARONA 200 MG CP VO UN 0.8400 0.6600 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.3078 0.1022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.3078 0.1022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5131 0.0869 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5131 0.0869 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0456 0.0044 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.1800 0.2200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.1800 0.2200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.3900 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3200 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 16.2227 4.0573 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51379 SERINGA DESC 05 ML UN 0.1900 0.1774 0.0126 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51379 SERINGA DESC 05 ML UN 0.1900 0.1778 0.0122 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.5341 0.7459 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51378 SERINGA DESC 03 ML UN 0.1500 0.1460 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51378 SERINGA DESC 03 ML UN 0.1500 0.1460 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51378 SERINGA DESC 03 ML UN 0.1500 0.1460 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51378 SERINGA DESC 03 ML UN 0.1500 0.1460 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5150 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5150 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3079 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 268049a93bd6b26b4f5b79b2e6ede297 SALVINA NULL NULL 12187025148 28702 VITAMINAS DO COMPLEXO B 2 ML SI IM IV AP 0.7200 0.0000 0.7200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 268049a93bd6b26b4f5b79b2e6ede297 SALVINA NULL NULL 12187025148 28702 VITAMINAS DO COMPLEXO B 2 ML SI IM IV AP 0.7200 0.0000 0.7200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 268049a93bd6b26b4f5b79b2e6ede297 SALVINA NULL NULL 12187025148 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2590 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 20010010 Eletrocardiograma - Ecg 16.5300 8.2700 8.2600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.0250 0.6450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6140 0.3860 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 51241 AGULHA 123X45 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 1.9406 0.6494 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 1.9410 0.6490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 09070 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.2060 0.7940 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51660 BROMETO DE IPRATROPIO SL IN GT 3.2000 0.0000 3.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51660 BROMETO DE IPRATROPIO SL IN GT 0.3200 0.0000 0.3200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.0581 0.4219 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1060 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.1171 0.4729 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.1171 0.4729 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.4216 0.3884 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2092 0.1908 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51514 ATORVASTATINA CALCICA 40 MG CP VO UN 6.1800 3.4700 2.7100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51514 ATORVASTATINA CALCICA 40 MG CP VO UN 6.1800 3.4800 2.7000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5410 0.0590 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 1.2011 0.0789 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 9b5312a9b62e67e053cee9fae99cb3ca MARIANA NULL NULL 12327329933 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4091 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cfec8246cb6dd6b0209430096d4acc2e ZILDA NULL NULL 12216841040 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 9b5312a9b62e67e053cee9fae99cb3ca MARIANA NULL NULL 12327329933 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7220 0.0880 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 51584 ESPARADRAPO MICROPORE 0.5100 0.3000 0.2100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 51589 ESPARADRAPO 10 X 4.5 CM CM 2.0000 0.9370 1.0630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0000 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a48e469abc716636c97d5b4032f77caa APARECIDA NULL NULL 12309719743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a48e469abc716636c97d5b4032f77caa APARECIDA NULL NULL 12309719743 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a48e469abc716636c97d5b4032f77caa APARECIDA NULL NULL 12309719743 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.4990 0.5010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0b0d528834878a853de575d6fda99575 ANDRE NULL NULL 12276785149 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.7941 0.7959 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7412 0.0688 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2789 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2550 0.2550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2550 0.2550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2550 0.2550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6600 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00124 LUVA CIRURGICA UN 4.3400 4.0800 0.2600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 00124 LUVA CIRURGICA UN 1.4500 0.4900 0.9600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00493 BROMOPRIDA 5 MG/ML 2 ML SI IM IV AP 8.2000 8.1961 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3020 0.0980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7230 0.2770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00069 SERINGA DESC 10 ML UN 1.6700 1.6677 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2761 0.0439 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2761 0.0439 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bfe0dce5ba78a927b1ddf0f5d8bcfddc JOSE NULL NULL 12263204342 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2580 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2580 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 51584 ESPARADRAPO MICROPORE 0.7700 0.6710 0.0990 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 51584 ESPARADRAPO MICROPORE 0.7700 0.6750 0.0950 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.1700 0.1080 0.0620 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 1.1090 0.0910 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 1.1090 0.0910 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.4100 0.3200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 06da7e6171666c282a23b6bfaea34946 ANA NULL NULL 12311962340 09070 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 06da7e6171666c282a23b6bfaea34946 ANA NULL NULL 12311962340 09070 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2abb44c4a2ca59174467848d6678378d JESUINA NULL NULL 12266838249 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2abb44c4a2ca59174467848d6678378d JESUINA NULL NULL 12266838249 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2abb44c4a2ca59174467848d6678378d JESUINA NULL NULL 12266838249 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9c457292aaeaf9fb2625e0716629becd ISABELLA NULL NULL 12263855845 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9c457292aaeaf9fb2625e0716629becd ISABELLA NULL NULL 12263855845 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.0700 0.3300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9c457292aaeaf9fb2625e0716629becd ISABELLA NULL NULL 12263855845 00558 LAMINA BISTURI N 20, 22 E 24 UN 0.6700 0.6692 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d4dbfd05ca467c79165606fc7735e38f MARIA NULL NULL 12312451147 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d4dbfd05ca467c79165606fc7735e38f MARIA NULL NULL 12312451147 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7250 0.2750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d4dbfd05ca467c79165606fc7735e38f MARIA NULL NULL 12312451147 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7250 0.2750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 9.6200 6.8677 2.7523 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4085 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4085 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 03081 AMIODARONA 50 MG/ML 3ML SI IV AP 13.1700 13.1687 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 36731 Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) 19.2000 18.1300 1.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 1.7000 0.0000 1.7000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 1.7000 0.0000 1.7000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 1.7000 0.0000 1.7000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2940 0.1060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2940 0.1060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.9000 0.8020 0.0980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5350 0.0650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5350 0.0650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2670 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2670 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 18.3471 1.9329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2550 0.2550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2550 0.2550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2550 0.2550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3073 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00126 LUVA CIRURGICA UN 1.4500 1.4480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00124 LUVA CIRURGICA UN 1.4500 1.4480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00124 LUVA CIRURGICA UN 1.4500 1.4480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00124 LUVA CIRURGICA UN 1.4500 1.4480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 2.3673 2.3627 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3901 0.0099 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3905 0.0095 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0120 0.0180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0120 0.0180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0000 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0000 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0000 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0000 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.0460 0.3540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.0460 0.3540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.0460 0.3540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5c8ab2d370e46d473148b3824dded22f LINI NULL NULL 12159460648 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 1.6650 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12286876434 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.0000 0.5987 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12286876434 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 71f935ca8fab6cccb6233fa8781155c0 LARA NULL NULL 12238580932 19160 SERINGA DESC 20 ML UN 0.0000 0.5380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 71f935ca8fab6cccb6233fa8781155c0 LARA NULL NULL 12238580932 20672 SORO RINGER SIMPLES 500 ML SI IV 0.0000 5.9383 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 013b155943183fa582252ca154e5569f JUVELINA NULL NULL 12165747648 13749 MARCAPASSO CARDIACO MULTIPROGRAM. C 0.0000 4324.3398 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248305538 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c4ded5870d9f9e4fcca132088e427e19 JOSE NULL NULL 12255378848 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 20.2784 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 12235405732 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 12235405732 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 05444 CLORETO DE POTASSIO 15% 10 ML SI I 0.0000 0.6862 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291130231 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291130231 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291130231 10626 GLICOSE 50% 10 ML SI IV AP 0.0000 2.1896 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 a7bb548f3353cba5fac1c27ef7fcd943 JACKSON NULL NULL 12281475030 11304 HIDROCORTISONA 500 MG PO IM IV FA 0.0000 6.3472 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222531131 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9c457292aaeaf9fb2625e0716629becd ISABELLA NULL NULL 12263855845 07528 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 0.0000 12.8679 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0921fd1fdec226a623f2a3e272f6d27c GRASSIELA NULL NULL 12248207537 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 f75b8a3ca92d2c95e65d2fff98be2d29 FRANCISCO NULL NULL 12270769836 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 24538 FIO VICRYL 2-0 C/ AGULHA 3,0 3/8 J 0.0000 18.1366 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 09091 PROMETAZINA 25 MG/ML 2 ML SI IM IV 0.0000 2.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.0000 0.8078 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7781a83504beb0f6fc1c86041782e8a1 ELODY NULL NULL 12320802443 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.2560 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 54d59bca98bdfc6e3183f3c58c8080a2 ELIABY NULL NULL 12325813637 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 54d59bca98bdfc6e3183f3c58c8080a2 ELIABY NULL NULL 12325813637 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 54d59bca98bdfc6e3183f3c58c8080a2 ELIABY NULL NULL 12220882236 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2fd28f5aa76be7aa2072537d0ba85951 ELAINE NULL NULL 12255258142 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320058937 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 19119 SERINGA DESC 01 ML (INSULINA) UN 0.0000 0.3074 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8e33f9f53bac138de65049d2befe0f99 DELIO NULL NULL 12310009231 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.0768 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321409939 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.7980 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321471846 33227 LUVA CIRURGICA UN 0.0000 1.4475 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 19569 SONDA DOBBHOFF (P/ ALIMENTAÇAO ENTE 0.0000 77.6290 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 9ceb7aa1edd4c9013f25d82381a85fb1 BENEDITA NULL NULL 12229148433 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 9ceb7aa1edd4c9013f25d82381a85fb1 BENEDITA NULL NULL 12229148433 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4089 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3883 0.0117 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3883 0.0117 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3883 0.0117 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00919 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.2700 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 52010023 Artrodese da Coluna Vertebral Via Anterior ou Póstero Lateral 574.8800 468.1200 106.7600 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 52010023 Artrodese da Coluna Vertebral Via Anterior ou Póstero Lateral 164.2500 133.7500 30.5000 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 52010511 Fratura do Cóccix - Tratamento Cruento 106.7600 86.9400 19.8200 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 52010341 Hérnia Discal - Tratamento Cirúrgico 65.7000 53.5000 12.2000 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 51589 ESPARADRAPO 10 X 4.5 CM CM NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 51584 ESPARADRAPO MICROPORE NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 00128 LUVA DE PROCEDIMENTO UNIDADE UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51241 AGULHA 123X45 0.1900 0.1915 -0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 36010049 Rm da Coluna Lombo - Sacra NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 55968 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 52941 Clorexidina Degermante 2% Fr30ml - Solução De Uso Tópico NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 51578 Frasco p/ alimentacao enteral NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 54687 IODOPOVIDONA SD TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 51673 ALGINATO DE CALCIO EM HIDROGEL GL TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 51649 ALCOOL ETILICO 70 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 38256 COLAGENASE PM TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54172 DIETA DIABETES 1.5 KCAL/ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 51590 ABAIXADOR DE LINGUA UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 39040267 Cateterismo da Artéria Radial - PA Contínua NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51622 MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR 6.6000 1.7530 4.8470 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51620 Modulo Em Pó De Fibras Solúveis 2.4400 0.6480 1.7920 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00090 SERINGA DESC 20 ML UN 0.5400 0.1430 0.3970 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00090 SERINGA DESC 20 ML UN 0.5400 0.1430 0.3970 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00069 SERINGA DESC 10 ML UN 0.3300 0.0870 0.2430 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51379 SERINGA DESC 05 ML UN 0.1900 0.0500 0.1400 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51379 SERINGA DESC 05 ML UN 0.1900 0.0500 0.1400 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 93ab10613d6a84b2e98ec68d66f5f061 LEOVEGILDO NULL NULL 12184124349 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 25040014 ASSISTENCIA FISIATRICA RESPIRATORIA 0.0000 147.3840 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 17310 IODOPOVIDONA ALCOOLICA SL TP ML 0.0000 0.3000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 13757 IODOPOVIDONA SD TP ML 0.0000 0.2000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 25030019 DISTURBIOS CIRCULATORIOS ARTERIO VE 0.0000 0.0000 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 000501 OXIGENIO 0.0000 827.5760 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 999999 DESPESAS HOSPITALARES DIVERSAS 0.0000 950.7064 NULL PROCEDIMENTO MULTIPLO COM PROCEDIME 0413
Glosa Min 2018-04-15 00:00:00.000000 1059439 dee5a0d03c4673fe8898c0a0fff00916 ANA NULL NULL 12276505648 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.3330 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 25030019 DISTURBIOS CIRCULATORIOS ARTERIO VE 0.0000 103.1688 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 25040014 ASSISTENCIA FISIATRICA RESPIRATORIA 0.0000 0.0000 NULL EXAMES COMPLEMENTARES NAO JUSTIFICA 0502
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 30015 ACIDO ACETILSALICILICO 100 MG CP V 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 5c8ab2d370e46d473148b3824dded22f LINI NULL NULL 12159460648 57495 FILTRO BARREIRA E REGENERADOR DE CA 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 34010068 TOMOGRAFIA COMPUTADORIZADA DE CRANI 0.0000 0.0000 NULL EXAMES COMPLEMENTARES NAO JUSTIFICA 0502
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.3990 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7781a83504beb0f6fc1c86041782e8a1 ELODY NULL NULL 12320802443 30376 BROMETO DE IPRATROPIO 0,25MG/ML SL 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 25040014 ASSISTENCIA FISIATRICA RESPIRATORIA 0.0000 0.0000 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1055123 4e13adf421809cb755e1bdd80cc4efed AGRIPINA NULL NULL 12325730131 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 4e13adf421809cb755e1bdd80cc4efed AGRIPINA NULL NULL 12325730131 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dee5a0d03c4673fe8898c0a0fff00916 ANA NULL NULL 12276505648 19151 SERINGA DESC 10 ML UN 0.0000 0.6662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dee5a0d03c4673fe8898c0a0fff00916 ANA NULL NULL 12276505648 07528 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 0.0000 12.8679 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0b0d528834878a853de575d6fda99575 ANDRE NULL NULL 12276785149 19160 SERINGA DESC 20 ML UN 0.0000 0.5380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1200 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1200 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1200 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1100 0.1500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51240 FITA ADVANTAGE P/ GLICOSE UN 7.7600 7.7544 0.0056 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00090 SERINGA DESC 20 ML UN 0.5400 0.5130 0.0270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00090 SERINGA DESC 20 ML UN 0.5400 0.5130 0.0270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00090 SERINGA DESC 20 ML UN 0.5400 0.5130 0.0270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00090 SERINGA DESC 20 ML UN 0.5400 0.5130 0.0270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00090 SERINGA DESC 20 ML UN 0.5400 0.5130 0.0270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.0300 0.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1750 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2710 0.0590 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.3720 0.2980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00096 ABOCATH N 14 A 22 UN 3.7700 3.7670 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 00126 LUVA CIRURGICA UN 5.7900 1.9200 3.8700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0350 0.1450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.2721 1.1379 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5370 0.4630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1078 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1069 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1069 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 234.2100 234.2041 0.0059 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 1.9000 1.8955 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4628 0.0172 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4628 0.0172 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4628 0.0172 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.9256 0.0344 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 32050038 RX Tórax: P. A. 15.7500 9.0060 6.7440 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 32050038 RX Tórax: P. A. 15.7500 9.0010 6.7490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00743 OXACILINA 500 MG + DIL. 3 ML PO IM IV FA 9.0800 9.0795 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 0.9559 1.5941 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 0.9559 1.5941 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.3176 1.2724 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.3176 1.2724 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.1560 0.1740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.4730 0.5270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.4730 0.5270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 02355 AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML 36.4700 36.4650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 02355 AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML 36.4700 36.4650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1060 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54685 POLVIDINE ALCOOLICA NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51230 AGULHA DESC 30 X 7 - 40X12 UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51230 AGULHA DESC 30 X 7 - 40X12 UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01451 ATROPION NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 1.6640 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 01309 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 0.0000 12.8658 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 01309 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 0.0000 12.8700 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 0.0000 3.0894 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 0.0000 3.0894 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 0.0000 3.0894 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 0.0000 3.0894 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00169 SORO GLICOSADO 5% 500 ML SI IV BS 0.0000 4.7021 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00170 SORO GLICOSADO 5% 250 ML SI IV BS 0.0000 3.0816 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 0.0000 4.7300 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 0.0000 18.9400 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 02246 HIDROCORTISONA 100 MG PO IM IV FA 0.0000 2.2678 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.0000 0.4800 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 03280 CLOREXIDINA 2 % ST TP ML 0.0000 0.4540 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.0000 0.5882 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0000 0.2900 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0000 0.5800 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51584 ESPARADRAPO MICROPORE 0.0000 0.2600 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51584 ESPARADRAPO MICROPORE 0.0000 0.2600 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51584 ESPARADRAPO MICROPORE 0.0000 0.2600 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51584 ESPARADRAPO MICROPORE 0.0000 0.7600 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51589 ESPARADRAPO 10 X 4.5 CM CM 0.0000 0.4000 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51589 ESPARADRAPO 10 X 4.5 CM CM 0.0000 0.4000 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 0.0000 1.2308 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 52772 FIO POLYCOT 2.0 S/ AGULHA SPA44T UN 0.0000 10.1952 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 54678 HUMULIN 0.0000 0.3000 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 54685 POLVIDINE ALCOOLICA 0.0000 0.1600 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3028 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3028 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3028 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00857 NITROPRUSSIATO DE SODIO 50 MG + DIL. PO IV FA 0.0000 27.3393 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5300 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5300 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5300 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00091 SERINGA DESC 01 ML (INSULINA) UN 0.0000 0.6100 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00943 EQUIPO POLIFIX 2 VIAS UN 0.0000 1.9119 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00943 EQUIPO POLIFIX 2 VIAS UN 0.0000 3.8238 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 28959 DERSANI LC TP ML 0.0000 19.4000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 08648 ESPARADRAPO 10 X 4.5 CM CM 0.4256 0.5632 -0.1632 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 08648 ESPARADRAPO 10 X 4.5 CM CM 0.4512 0.5888 -0.1888 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 1.5000 1.6400 -0.1400 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 32719 CEFAZOLINA 1 GR + DIL. 10 ML FA 8.1300 8.1275 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 32719 CEFAZOLINA 1 GR + DIL. 10 ML FA 8.1300 8.1275 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 19151 SERINGA DESC 10 ML UN 0.6700 0.6662 0.0038 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 33227 LUVA CIRURGICA UN 2.9000 2.8950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 24538 FIO VICRYL 2-0 C/ AGULHA 3,0 3/8 J 0.0000 18.1366 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 43567 IODOPOVIDONA TINTURA SL TP ML 0.0000 0.2000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 27600 ONDANSETRONA 2 MG/ML 4 ML SI IM I 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 2.6832 1.3804 0.4096 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 2.4644 1.2180 0.2720 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6900 1.6400 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 21261 TEICOPLANINA 400 MG + DIL. 3 ML PO 362.7200 362.7200 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 26999 GANCICLOVIR 500 MG + DIL. PO IV F 151.0400 151.0374 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00838 HIDRALAZINA 50 MG DG VO UN 0.3200 0.0890 0.2310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00627 METRONIZADOL 250 MG CP VO UN 0.2200 0.0670 0.1530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00838 HIDRALAZINA 50 MG DG VO UN 0.3200 0.2600 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7000 0.3000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2310 0.0990 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 54687 IODOPOVIDONA SD TP ML 0.4000 0.1200 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3730 0.1070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3830 0.0970 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2400 0.2900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 54685 POLVIDINE ALCOOLICA 0.6000 0.3600 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 54653 DERSANI LC TP ML 19.4000 3.7300 15.6700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51584 ESPARADRAPO MICROPORE 0.7700 0.2000 0.5700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.1300 0.3800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51584 ESPARADRAPO MICROPORE 0.2600 0.0700 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51584 ESPARADRAPO MICROPORE 0.2600 0.0700 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4200 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2200 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 1.6994 0.8506 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1310 0.3190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51419 FILTRO DE BARREIRA 24.0000 12.0000 12.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1470 0.0930 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1470 0.0930 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 03280 CLOREXIDINA 2 % ST TP ML 0.2700 0.1460 0.1240 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 1.9000 1.8950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 1.9000 1.8950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 54555 AEROLIN 0.5000 0.4980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51660 BROMETO DE IPRATROPIO SL IN GT 3.2000 0.0000 3.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51660 BROMETO DE IPRATROPIO SL IN GT 3.2000 0.0000 3.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.6550 0.1550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.6550 0.1550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00069 SERINGA DESC 10 ML UN 0.3300 0.1732 0.1568 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.1900 0.1538 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.1900 0.1538 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.1900 0.1538 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3809 0.0191 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3809 0.0191 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3809 0.0191 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3809 0.0191 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0280 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4027 0.1873 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4027 0.1873 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1300 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1300 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1300 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3130 0.0870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3190 0.0810 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51241 AGULHA 123X45 0.1900 0.1808 0.0092 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 09b825abc9ef518ba223f29f2bf7c07b WALDEMAR NULL NULL 12171249749 51475 FUMARATO DE QUETIAPINA 25 MG CA VO UN 1.2500 1.2471 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 09b825abc9ef518ba223f29f2bf7c07b WALDEMAR NULL NULL 12171249749 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3690 0.1110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0120 0.0180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0120 0.0180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51163 AGUA BIDESTILADA 250 ML 5.7900 4.8200 0.9700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51163 AGUA BIDESTILADA 250 ML 5.7900 4.8300 0.9600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6650 0.3350 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6650 0.3350 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7800 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.9800 0.9700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 0.3800 0.3216 0.0584 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0200 0.7800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0300 0.7700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 13.2000 13.1950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 10.5600 10.5560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8253 0.1347 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8253 0.1347 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2150 0.3150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2150 0.3150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.4900 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.4900 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.4900 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 5.2800 4.3680 0.9120 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 2.1840 0.4560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 2.1840 0.4560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51584 ESPARADRAPO MICROPORE 0.7700 0.5850 0.1850 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51584 ESPARADRAPO MICROPORE 0.7700 0.5850 0.1850 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51584 ESPARADRAPO MICROPORE 0.2600 0.1970 0.0630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51584 ESPARADRAPO MICROPORE 0.2600 0.1970 0.0630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51584 ESPARADRAPO MICROPORE 0.2600 0.1970 0.0630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51589 ESPARADRAPO 10 X 4.5 CM CM 2.0000 1.6670 0.3330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3330 0.0670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3330 0.0670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.5000 0.9190 0.5810 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 0.7350 0.4650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 0.7350 0.4650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0412 0.0088 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.1700 0.1260 0.0440 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51240 FITA ADVANTAGE P/ GLICOSE UN 7.7600 7.3477 0.4123 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 4.9048 0.2752 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2912 0.0188 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2912 0.0188 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2912 0.0188 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00126 LUVA CIRURGICA UN 5.7900 2.4781 3.3119 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00124 LUVA CIRURGICA UN 1.4500 0.6206 0.8294 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00124 LUVA CIRURGICA UN 1.4500 0.6206 0.8294 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8320 0.1680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1778 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1778 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.3719 0.2181 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.3719 0.2181 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00069 SERINGA DESC 10 ML UN 0.3300 0.3192 0.0108 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.9330 0.0670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5013 0.0887 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5013 0.0887 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5013 0.0887 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5013 0.0887 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5013 0.0887 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12234060246 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5000 0.5000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0400 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0400 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.3670 0.1630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 03280 CLOREXIDINA 2 % ST TP ML 0.2700 0.1920 0.0780 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 40.5900 0.0000 40.5900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.1339 2.2761 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0530 0.0470 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0560 0.0440 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00124 LUVA CIRURGICA UN 1.4500 1.2062 0.2438 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.3700 0.1600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1390 0.1210 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.1538 0.1562 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0800 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00069 SERINGA DESC 10 ML UN 0.3300 0.2533 0.0767 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00124 LUVA CIRURGICA UN 1.4500 1.4400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00124 LUVA CIRURGICA UN 1.4500 1.4400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12190351843 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12190351843 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5900 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5900 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5900 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5900 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2300 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1300 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0500 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0600 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00069 SERINGA DESC 10 ML UN 0.3300 0.2629 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00069 SERINGA DESC 10 ML UN 0.3300 0.2629 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00069 SERINGA DESC 10 ML UN 0.3300 0.2629 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00069 SERINGA DESC 10 ML UN 0.3300 0.2629 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00069 SERINGA DESC 10 ML UN 0.3300 0.2643 0.0657 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00124 LUVA CIRURGICA UN 1.4500 1.0856 0.3644 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00124 LUVA CIRURGICA UN 1.4500 1.0856 0.3644 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51660 BROMETO DE IPRATROPIO SL IN GT 3.2000 0.5400 2.6600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.9440 0.7860 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.4453 0.3647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.4453 0.3647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0400 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0384 0.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0384 0.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 dbbe3b9eae9e97e5a06c73e513f4813c ELUZIETE NULL NULL 12290749311 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 0.0000 NULL AGENDAMENTO CANCELADO OU NAO CONFIR 0621
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 07528 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 0.0000 12.8679 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 20567 SORO FISIOLOGICO 0,9% 500 ML SI IV 0.0000 9.4690 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 644149ebf2a2c69f938aa1ae22f5ef7f MARIA NULL NULL 12185221839 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 54518 MIDAZOLAM 5 MG/ML 10 ML SI IV AP 0.0000 65.2098 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 22896 CEFUROXIMA 750 MG + DIL. 6 ML PO I 0.0000 26.1264 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12217705730 19160 SERINGA DESC 20 ML UN 0.0000 1.0760 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12217705730 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12217705730 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 31550 PREDNISONA 5 MG CP VO UN 0.3600 0.3570 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 31550 PREDNISONA 5 MG CP VO UN 0.3600 0.3570 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 12262 ISOSSORBIDA 20 MG CP VO UN 0.2200 0.2158 0.0042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 12262 ISOSSORBIDA 20 MG CP VO UN 0.2200 0.2158 0.0042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 644149ebf2a2c69f938aa1ae22f5ef7f MARIA NULL NULL 12185221839 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.3952 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 2e2f03e046097465ccdb246bcd3e2aa7 JUAREZ NULL NULL 12317886530 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321409939 00111 ABOCATH N 14 A 22 UN 3.7700 3.7665 0.0035 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 54d59bca98bdfc6e3183f3c58c8080a2 ELIABY NULL NULL 12220882236 01603 GLICOSE 50% 10 ML SI IV AP 0.5500 0.5499 0.0001 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0921fd1fdec226a623f2a3e272f6d27c GRASSIELA NULL NULL 12248207537 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0921fd1fdec226a623f2a3e272f6d27c GRASSIELA NULL NULL 12248207537 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4094 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0921fd1fdec226a623f2a3e272f6d27c GRASSIELA NULL NULL 12248207537 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1890 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 93ab10613d6a84b2e98ec68d66f5f061 LEOVEGILDO NULL NULL 12184124349 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2570 0.2530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 93ab10613d6a84b2e98ec68d66f5f061 LEOVEGILDO NULL NULL 12184124349 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1800 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c4ded5870d9f9e4fcca132088e427e19 JOSE NULL NULL 12255378848 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.9000 0.5760 0.3240 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c4ded5870d9f9e4fcca132088e427e19 JOSE NULL NULL 12255378848 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.3980 0.6020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248305538 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 54d59bca98bdfc6e3183f3c58c8080a2 ELIABY NULL NULL 12325813637 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4085 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00169 SORO GLICOSADO 5% 500 ML SI IV BS 10.3800 10.3755 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51660 BROMETO DE IPRATROPIO SL IN GT 3.2000 0.0000 3.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 03280 CLOREXIDINA 2 % ST TP ML 1.6000 1.5540 0.0460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3426 0.1374 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3426 0.1374 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3426 0.1374 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3426 0.1374 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3426 0.1374 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3426 0.1374 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.6853 0.2747 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.9200 1.3706 0.5494 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 2.8800 2.0560 0.8240 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1885 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1885 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1885 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8180 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12254218741 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12254218741 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6920 0.3080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12254218741 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6920 0.3080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12254218741 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6920 0.3080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12254218741 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12254218741 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5400 0.4600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0930 0.0070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0930 0.0070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.3690 0.1410 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 1.1896 0.0904 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00090 SERINGA DESC 20 ML UN 0.5400 0.4900 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00090 SERINGA DESC 20 ML UN 0.5400 0.4900 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00090 SERINGA DESC 20 ML UN 0.5400 0.4900 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00090 SERINGA DESC 20 ML UN 0.5400 0.4800 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2210 0.0790 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4420 0.1580 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2760 0.1240 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0426 0.0074 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.8551 0.0749 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3707 0.4393 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 3.7300 3.4417 0.2883 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00124 LUVA CIRURGICA UN 1.4500 1.3700 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.5800 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6190 0.3810 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6190 0.3810 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00097 ABOCATH N 14 A 22 UN 3.7700 3.7673 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2790 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 00124 LUVA CIRURGICA UN 1.4500 1.4488 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6640 0.0060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.3203 0.9597 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2300 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4600 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 51584 ESPARADRAPO MICROPORE 0.2600 0.2570 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 17.0400 17.0319 0.0081 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP 151.9400 145.8639 6.0761 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7412 0.0688 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222597035 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222597035 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222597035 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234617838 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12254155740 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12219054932 51314 ZOLPIDEM 10 MG CP VO UN 0.0000 1.2796 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235281439 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235281439 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 32905 EQUIPO POLIFIX 4ş VIAS UN 0.0000 5.0984 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 19151 SERINGA DESC 10 ML UN 0.0000 0.6662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.2560 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 b85c60141d4de3f2910457b0ff9b4eb5 SIMONE NULL NULL 12238458533 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 b85c60141d4de3f2910457b0ff9b4eb5 SIMONE NULL NULL 12238458533 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12269071038 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12289578033 15210 NORIPURUM EV 20 MG/ML 5 ML SI IV 0.0000 9.4080 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 51241 AGULHA 123X45 0.1900 0.0106 0.1794 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 51241 AGULHA 123X45 0.1900 0.0106 0.1794 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 00031 AGULHA DESC 13 X 45 UN 0.5800 0.0324 0.5476 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3280 0.0720 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 0.8700 0.8600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 04938 LOSARTANA 50 MG CP VO UN 1.3300 1.0700 0.2600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.3850 0.6150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2570 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00735 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 27.0658 27.0642 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00735 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 27.0658 27.0642 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.6155 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.6155 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3512 0.0488 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 3.5502 0.3898 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 3.5502 0.3898 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 25030019 Distúrbios Circulatórios Artério - Venosos e Linfáticos 22.9200 17.6312 5.2888 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 25030019 Distúrbios Circulatórios Artério - Venosos e Linfáticos 22.9200 17.6312 5.2888 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 000501 OXIGENIO 553.5300 545.5180 8.0120 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dc0262e6d5010acfe6a18c66d0d30ed3 OSMIDA NULL NULL 12264720947 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.7400 0.9300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00090 SERINGA DESC 20 ML UN 0.5400 0.4930 0.0470 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0000 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0000 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0000 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00069 SERINGA DESC 10 ML UN 0.3300 0.2448 0.0852 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00069 SERINGA DESC 10 ML UN 0.3300 0.2437 0.0863 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2669 0.0531 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2669 0.0531 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00943 EQUIPO POLIFIX 2 VIAS UN 5.1000 0.0000 5.1000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.3176 1.2724 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.3176 1.2724 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 b0cf39637fe986487f472bcb0d4cee6a MARIA NULL NULL 12296580819 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 507aaed745d37ba6615ed20a0cc07949 MAURINO NULL NULL 12279813612 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 ca8956658662a3fbeae30b8cd5e2c8b7 MICHELLE NULL NULL 12259544910 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 a042172d572a2a88041bd5e6db0257d7 MINERVINA NULL NULL 12283522110 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 4704b64b8a9c485873497a67ae9816cf NILVA NULL NULL 12297393015 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 95fe499e3f267de8bf496c76d4744ac5 PAULO NULL NULL 12277365819 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 fce3d54eb200b798b30ef40f4c53fcc1 POLYANA NULL NULL 12276745018 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12308995017 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 9588a1f8bb0e8e2a22c79e9adb9bf841 THEREZINHA NULL NULL 12254791112 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12252597312 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 9c0dd9de80ed2199aae12c9cfd765e76 VITORIA NULL NULL 12255065315 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 eff08749d885c5abdbd269091d7c9873 WILSON NULL NULL 12297387519 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8c6a67a46a9b7171eab5ccc5499b0d9d ANELITA NULL NULL 12255137334 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12190351843 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12190351843 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 20370 SONDA URETRAL Nş 12 UN 0.0000 0.7558 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 34010130 TOMOGRAFIA COMPUTADORIZADA DO TORAX 0.0000 280.6875 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 01929 ATROPINA 0,50 MG SI IV AP 0.0000 0.6489 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 19763 SONDA FOLEY 2 VIAS Nş 16 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00922 AMINOFILINA 24 MG/ML 10 ML SI IM I 0.0000 0.6685 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 15016 NITROPRUSSIATO DE SODIO 50 MG + DIL 0.0000 27.3393 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0f992b408cbd27a95de887ea229c0b26 JORGINA NULL NULL 12321704643 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248313941 19160 SERINGA DESC 20 ML UN 0.0000 0.5380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248313941 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 20.2784 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320508342 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320508342 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 1.2800 0.7100 0.5700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.2600 0.2070 0.0530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.2600 0.2070 0.0530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.5100 0.4070 0.1030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.5100 0.4070 0.1030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 09340 LEVOFLOXACINO 5 MG/ML 100 ML SI IV BS 105.6800 105.6771 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 09340 LEVOFLOXACINO 5 MG/ML 100 ML SI IV BS 105.6800 105.6771 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0180 0.0120 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0130 0.0170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1570 0.2430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.3035 0.5765 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.3035 0.5765 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.3035 0.5765 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.3035 0.5765 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.7612 1.1788 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.7612 1.1788 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.7612 1.1788 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 01296 MORFINA 0,2 MG 1 ML SI IT IV PE AP 4.1400 3.3150 0.8250 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51662 Simeticona frasco c/15 ml 1.0500 0.9600 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51662 Simeticona frasco c/15 ml 1.0500 0.9600 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51662 Simeticona frasco c/15 ml 2.1000 1.9000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51662 Simeticona frasco c/15 ml 2.1000 1.9000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 10.6300 2.9000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 10.6300 2.9000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.0848 1.7452 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 02246 HIDROCORTISONA 100 MG PO IM IV FA 5.6700 2.1691 3.5009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 02246 HIDROCORTISONA 100 MG PO IM IV FA 5.6700 2.1691 3.5009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 02246 HIDROCORTISONA 100 MG PO IM IV FA 8.5000 3.2517 5.2483 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 02246 HIDROCORTISONA 100 MG PO IM IV FA 8.5000 3.2517 5.2483 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00031 AGULHA DESC 13 X 45 UN 0.7700 0.3187 0.4513 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2480 0.0720 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0300 0.0260 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2170 0.0830 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 51584 ESPARADRAPO MICROPORE 0.2600 0.0016 0.2584 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1286 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1286 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9816 0.4284 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9816 0.4284 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9816 0.4284 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 37025 PROPOFOL 1% SI IV ML 40.0000 30.0000 10.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00348 DIPIRONA 500 MG CP VO UN 0.5400 0.4200 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00348 DIPIRONA 500 MG CP VO UN 0.8200 0.6300 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00348 DIPIRONA 500 MG CP VO UN 1.0900 0.8400 0.2500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6940 0.3060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6940 0.3060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 00097 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0800 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.4587 1.1513 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.4586 1.1514 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.3520 0.2380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.9797 0.3003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2208 0.1792 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.4453 0.3647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51163 AGUA BIDESTILADA 250 ML 5.7900 4.6300 1.1600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.3990 0.1310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 20010010 Eletrocardiograma - Ecg 16.5300 8.2700 8.2600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0f992b408cbd27a95de887ea229c0b26 JORGINA NULL NULL 12321704643 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7200 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0f992b408cbd27a95de887ea229c0b26 JORGINA NULL NULL 12321704643 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00069 SERINGA DESC 10 ML UN 0.3300 0.2629 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0600 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1300 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.5294 1.0606 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2300 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5900 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00124 LUVA CIRURGICA UN 1.4500 1.4400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00069 SERINGA DESC 10 ML UN 0.3300 0.2541 0.0759 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00069 SERINGA DESC 10 ML UN 0.3300 0.2533 0.0767 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0800 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0800 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8242 0.1358 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 54687 IODOPOVIDONA SD TP ML 0.6000 0.3600 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 54687 IODOPOVIDONA SD TP ML 0.6000 0.3600 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 54687 IODOPOVIDONA SD TP ML 0.6000 0.3600 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 240.5100 240.5057 0.0043 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.1339 2.2761 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.1339 2.2761 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00170 SORO GLICOSADO 5% 250 ML SI IV BS 6.7900 2.2578 4.5322 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 2.2678 4.5522 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP 37.9900 37.9855 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.3670 0.1630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00124 LUVA CIRURGICA UN 1.4500 1.2670 0.1830 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00124 LUVA CIRURGICA UN 1.4500 1.2665 0.1835 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00124 LUVA CIRURGICA UN 1.4500 1.2665 0.1835 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5027 0.0873 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5013 0.0887 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5013 0.0887 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1780 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1780 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1780 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1780 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.3500 0.3460 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.9330 0.0670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.5590 0.1110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.5590 0.1110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.5590 0.1110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00069 SERINGA DESC 10 ML UN 0.3300 0.3190 0.0110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.3719 0.2181 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.3719 0.2181 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8320 0.1680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8320 0.1680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8320 0.1680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1320 0.3980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1320 0.3980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00124 LUVA CIRURGICA UN 1.4500 0.6206 0.8294 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2912 0.0188 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2912 0.0188 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2912 0.0188 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4524 0.1376 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4524 0.1376 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.6661 0.3339 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00097 ABOCATH N 14 A 22 UN 3.7700 3.0132 0.7568 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00097 ABOCATH N 14 A 22 UN 3.7700 3.0129 0.7571 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00097 ABOCATH N 14 A 22 UN 3.7700 3.0129 0.7571 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3330 0.0670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3330 0.0670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51584 ESPARADRAPO MICROPORE 0.2600 0.1970 0.0630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51584 ESPARADRAPO MICROPORE 0.2600 0.1970 0.0630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51584 ESPARADRAPO MICROPORE 0.2600 0.1970 0.0630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51584 ESPARADRAPO MICROPORE 0.2600 0.1970 0.0630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 2.1840 0.4560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 10.5600 8.7360 1.8240 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.5000 0.2300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.4900 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3476 0.0524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3476 0.0524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 2.0600 1.8069 0.2531 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2150 0.3150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2150 0.3150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8253 0.1347 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8253 0.1347 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8253 0.1347 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.4400 1.2379 0.2021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 2.5637 0.2663 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 2.5637 0.2663 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 166.9000 166.8985 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 13.2000 13.1950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8185 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8185 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 52386 CLORETO DE SODIO 20% 10 ML SI IV AP 1.1000 1.0958 0.0042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 01603 GLICOSE 50% 10 ML SI IV AP 2.7400 2.7370 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2080 0.5220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2080 0.5220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2080 0.5220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2080 0.5220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2080 0.5220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0300 0.7700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0200 0.7800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0200 0.7800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 53858 NISTATINA CV VG GR 0.0900 0.0285 0.0615 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 0.3800 0.3216 0.0584 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.9800 0.9700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.9737 0.3063 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 1.9119 0.6381 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1340 0.1660 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6650 0.3350 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6650 0.3350 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6650 0.3350 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6650 0.3350 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.1110 0.5590 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2200 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2200 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2100 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51163 AGUA BIDESTILADA 250 ML 5.7900 4.8300 0.9600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51163 AGUA BIDESTILADA 250 ML 5.7900 4.8200 0.9700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51163 AGUA BIDESTILADA 250 ML 5.7900 4.8200 0.9700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.5500 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.5500 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1320 0.3980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0120 0.0180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0120 0.0180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0250 0.0350 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 24481 MOXIFLOXACINO 1,6 MG/ML 250 ML SI IV BS 129.8500 129.8467 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 1.7000 0.0000 1.7000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3790 0.1010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3690 0.1110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3690 0.1110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3690 0.1110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.4400 1.1090 0.3310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 51660 BROMETO DE IPRATROPIO SL IN GT 2.8000 0.0000 2.8000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 09b825abc9ef518ba223f29f2bf7c07b WALDEMAR NULL NULL 12171249749 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 09b825abc9ef518ba223f29f2bf7c07b WALDEMAR NULL NULL 12171249749 51475 FUMARATO DE QUETIAPINA 25 MG CA VO UN 1.2500 1.2471 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51241 AGULHA 123X45 0.1900 0.1808 0.0092 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6100 0.3900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6100 0.3900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6000 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3130 0.0870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3130 0.0870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1300 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1300 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1300 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4027 0.1873 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4027 0.1873 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51378 SERINGA DESC 03 ML UN 0.3000 0.2800 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0280 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3809 0.0191 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3809 0.0191 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1300 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1300 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1300 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1300 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1300 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00031 AGULHA DESC 13 X 45 UN 0.1900 0.1547 0.0353 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.1900 0.1538 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.1900 0.1538 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00069 SERINGA DESC 10 ML UN 0.3300 0.1732 0.1568 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00069 SERINGA DESC 10 ML UN 0.3300 0.1732 0.1568 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3230 0.0770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3230 0.0770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3230 0.0770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51660 BROMETO DE IPRATROPIO SL IN GT 2.4000 0.0000 2.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 54555 AEROLIN 0.5000 0.4980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 1.9000 1.8950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2482 0.2318 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.4400 0.7366 0.7034 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.9200 0.9822 0.9378 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.0590 0.5310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2200 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2200 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4200 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51584 ESPARADRAPO MICROPORE 0.2600 0.0700 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51584 ESPARADRAPO MICROPORE 0.2600 0.0700 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51584 ESPARADRAPO MICROPORE 0.2600 0.0600 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 54685 POLVIDINE ALCOOLICA 0.6000 0.3600 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 54685 POLVIDINE ALCOOLICA 0.6000 0.3600 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2500 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2400 0.2900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2400 0.2900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2400 0.2900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 54687 IODOPOVIDONA SD TP ML 0.4000 0.1200 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 54687 IODOPOVIDONA SD TP ML 0.4000 0.1200 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 54687 IODOPOVIDONA SD TP ML 0.8000 0.2300 0.5700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 54687 IODOPOVIDONA SD TP ML 0.8000 0.2300 0.5700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 31291 METRONIZADOL 250 MG CP VO UN 0.2200 0.2170 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00838 HIDRALAZINA 50 MG DG VO UN 0.6400 0.5200 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00838 HIDRALAZINA 50 MG DG VO UN 0.3200 0.0890 0.2310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059418 7e6117ac94f603a115a3c16972503f7a ABADIA NULL NULL 12309768120 32050054 TORAX PA LAT 0.0000 20.2105 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059418 855b5eec2465ffe6bde8bad4f7ccdc93 ANDREIA NULL NULL 12321680720 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 57266 FUMARATO DE QUETIAPINA 100 MG CP 8.6100 8.6100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 57266 FUMARATO DE QUETIAPINA 100 MG CP 4.3000 4.2990 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 26999 GANCICLOVIR 500 MG + DIL. PO IV F 151.0400 151.0374 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 26999 GANCICLOVIR 500 MG + DIL. PO IV F 151.0400 151.0374 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 21261 TEICOPLANINA 400 MG + DIL. 3 ML PO 362.7200 362.7149 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 1.6550 0.9225 0.1175 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6900 1.6400 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 2.4644 1.2180 0.2720 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.7900 0.6235 0.1665 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 20885 SUFENTANILA 50 MCG/ML 1 ML SI IV P 0.0000 19.1586 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 01546 METARAMINOL 10 MG 1 ML SI IM SC IV 0.0000 4.5060 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 32719 CEFAZOLINA 1 GR + DIL. 10 ML FA 8.1300 8.1275 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 32719 CEFAZOLINA 1 GR + DIL. 10 ML FA 8.1300 8.1275 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.3800 0.3612 0.0188 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 13757 IODOPOVIDONA SD TP ML 0.0000 0.4000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51379 SERINGA DESC 05 ML UN 0.1900 0.0500 0.1400 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00069 SERINGA DESC 10 ML UN 0.3300 0.0870 0.2430 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.1350 0.3750 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.1350 0.3750 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00090 SERINGA DESC 20 ML UN 0.5400 0.1430 0.3970 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51620 Modulo Em Pó De Fibras Solúveis 2.4400 0.6480 1.7920 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51578 Frasco p/ alimentacao enteral 2.4700 0.6560 1.8140 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51419 FILTRO DE BARREIRA 24.0000 6.3760 17.6240 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 51590 ABAIXADOR DE LINGUA UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 51590 ABAIXADOR DE LINGUA UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00170 SORO GLICOSADO 5% 250 ML SI IV BS NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 51649 ALCOOL ETILICO 70 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 51673 ALGINATO DE CALCIO EM HIDROGEL GL TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 52941 Clorexidina Degermante 2% Fr30ml - Solução De Uso Tópico NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00943 EQUIPO POLIFIX 2 VIAS UN 0.0000 7.6476 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00020010 Visita Hospitalar (Paciente Internado) NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 30376 BROMETO DE IPRATROPIO 0,25MG/ML SL 2.4000 0.0000 2.4000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 38256 COLAGENASE PM TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 51649 ALCOOL ETILICO 70 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00919 ALGODAO HIDROFILO BOLINHA UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 55968 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 52976 FIO MONONYLON 3-0 C/ AGULHA 2,4 3/8 163T EV NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 27041158 Medula Ossea - Aspiração para mielograma ou microbiologia NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 52010511 Fratura do Cóccix - Tratamento Cruento 71.1700 57.9600 13.2100 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 52010023 Artrodese da Coluna Vertebral Via Anterior ou Póstero Lateral 82.1200 66.8700 15.2500 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 52010341 Hérnia Discal - Tratamento Cirúrgico 229.9500 187.2400 42.7100 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 00020010 Visita Hospitalar (Paciente Internado) 0.0000 0.0000 NULL COBRANCA DE HONORARIOS EM DUPLICIDADE 2607
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 36010197 HIDRO-RM ( COLANGIO-RM OU URO-RM OU MIELO-RM OU SIALO-RM OU ISTOG ) 0.0000 0.0000 NULL EXAME SEM REGISTRO DE EXECUCAO 2703
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 02203 OLEO MINERAL 100% SO VO ML 3.7600 3.5280 0.2320 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 33010358 Doppler Colorido de Três ou mais Vasos 0.0000 0.0000 NULL COBRANCA DE HONORARIOS EM DUPLICIDADE 2607
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51241 AGULHA 123X45 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00090 SERINGA DESC 20 ML UN 10.7600 3.1190 7.6410 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00090 SERINGA DESC 20 ML UN 0.5400 0.1560 0.3840 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00090 SERINGA DESC 20 ML UN 0.5400 0.1560 0.3840 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00090 SERINGA DESC 20 ML UN 0.5400 0.1560 0.3840 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.3520 0.2380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.3520 0.2380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.3200 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 03280 CLOREXIDINA 2 % ST TP ML 0.2700 0.2660 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 03280 CLOREXIDINA 2 % ST TP ML 0.2700 0.2660 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8095 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8095 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8095 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00348 DIPIRONA 500 MG CP VO UN 0.5400 0.4200 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5496 0.4104 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9816 0.4284 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9816 0.4284 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9816 0.4284 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0300 0.0003 0.0297 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4340 0.1660 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2170 0.0830 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.9850 0.2950 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 2.7669 1.8431 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 2.7669 1.8431 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.9310 0.7390 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5570 0.4430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5570 0.4430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.1178 0.4722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.1178 0.4722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00124 LUVA CIRURGICA UN 4.3400 3.6145 0.7255 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 02246 HIDROCORTISONA 100 MG PO IM IV FA 8.5000 3.2517 5.2483 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 02246 HIDROCORTISONA 100 MG PO IM IV FA 8.5000 3.2517 5.2483 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 02246 HIDROCORTISONA 100 MG PO IM IV FA 5.6700 2.1691 3.5009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.0826 1.7474 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 10.6300 2.9000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 10.6300 2.9000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 10.6300 2.9000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51662 Simeticona frasco c/15 ml 1.0500 0.9600 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51662 Simeticona frasco c/15 ml 1.0500 0.9600 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51662 Simeticona frasco c/15 ml 1.0500 0.9600 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 01296 MORFINA 0,2 MG 1 ML SI IT IV PE AP 4.1400 3.3150 0.8250 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.3035 0.5765 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.3035 0.5765 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1570 0.2430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1570 0.2430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7963 0.1637 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7963 0.1637 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.5100 0.4070 0.1030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.5100 0.4070 0.1030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.2600 0.2070 0.0530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2624 0.0676 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320508342 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320508342 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248313941 19771 SONDA FOLEY 2 VIAS Nş 18 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 19917 SONDA NASOGASTRICA LONGA Nş 18 UN 0.0000 1.0889 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320508342 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320508342 33227 LUVA CIRURGICA UN 0.0000 1.4475 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320508342 22756 LIDOCAINA 2% S/ VASO SI PE ML 0.0000 2.3480 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 18988 SCALP (TODOS) UN 0.0000 0.3971 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8c6a67a46a9b7171eab5ccc5499b0d9d ANELITA NULL NULL 12255137334 27596 TIRA TESTE PARA GLICOSE UN 0.0000 2.5876 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8c6a67a46a9b7171eab5ccc5499b0d9d ANELITA NULL NULL 12255137334 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 002e84540426cd384f5b22f477994999 STEPHANIE NULL NULL 12277376616 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12269374911 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 831ce19f675263fdd5ea867e52bddd1e PAULO NULL NULL 12254428014 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 dce2f74ba3898df1ccb50bffc099b2de MOACYR NULL NULL 12309523610 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 66b99083c847543e2dafeba810842100 MARIA NULL NULL 12321552710 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.1400 0.2600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3820 0.2180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1910 0.1090 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.3180 1.2720 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00069 SERINGA DESC 10 ML UN 0.3300 0.2437 0.0863 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00069 SERINGA DESC 10 ML UN 0.3300 0.2437 0.0863 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00090 SERINGA DESC 20 ML UN 1.6100 1.4720 0.1380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00090 SERINGA DESC 20 ML UN 0.5400 0.4930 0.0470 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dc0262e6d5010acfe6a18c66d0d30ed3 OSMIDA NULL NULL 12264720947 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 25030019 Distúrbios Circulatórios Artério - Venosos e Linfáticos 22.9200 17.6312 5.2888 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7800 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 3.5502 0.3898 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 3.5502 0.3898 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 3.5502 0.3898 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 3.5502 0.3898 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00991 ESPIRONOLACTONA 25 MG CP VO UN 0.4800 0.3800 0.1000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 01400 ALPRAZOLAM 0,5 MG CP VO UN 0.4700 0.3900 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7112 0.0988 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00541 AMIODARONA 200 MG CP VO UN 0.8400 0.6600 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.6155 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 00128 LUVA DE PROCEDIMENTO UNIDADE UN 3.5000 1.3490 2.1510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.3850 0.6150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1782 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 04938 LOSARTANA 50 MG CP VO UN 1.3300 1.0600 0.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3280 0.0720 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 51241 AGULHA 123X45 0.1900 0.0106 0.1794 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.1171 0.4729 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12252609736 15210 NORIPURUM EV 20 MG/ML 5 ML SI IV 0.0000 9.4080 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12252609736 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 72c33ead971af5baf1eca656499a45a0 TEREZA NULL NULL 12184732933 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 72c33ead971af5baf1eca656499a45a0 TEREZA NULL NULL 12184732933 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 72c33ead971af5baf1eca656499a45a0 TEREZA NULL NULL 12184732933 20370 SONDA URETRAL Nş 12 UN 0.0000 0.7558 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 753c84e1fe71f9a70b9b36d18828ba40 SUZANE NULL NULL 12297996332 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 b85c60141d4de3f2910457b0ff9b4eb5 SIMONE NULL NULL 12238458533 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 01929 ATROPINA 0,50 MG SI IV AP 0.0000 0.6489 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 07528 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 0.0000 12.8679 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 268049a93bd6b26b4f5b79b2e6ede297 SALVINA NULL NULL 12187025148 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.0000 0.2050 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235281439 27596 TIRA TESTE PARA GLICOSE UN 0.0000 2.5876 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 50644 MORFINA 10 MG/ML 1 ML SI IM IV PE 0.0000 2.6390 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 31569 PROPRANOLOL 40 MG CP VO UN 0.0000 0.1560 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234617838 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.0000 1.1974 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234617838 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 be3a00aea8414caa2481fbd5acdbea6d MARTA NULL NULL 12223656239 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 be3a00aea8414caa2481fbd5acdbea6d MARTA NULL NULL 12223656239 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 be3a00aea8414caa2481fbd5acdbea6d MARTA NULL NULL 12223656239 20672 SORO RINGER SIMPLES 500 ML SI IV 0.0000 5.9383 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4600 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.3203 0.9597 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 00124 LUVA CIRURGICA UN 14.4800 14.4683 0.0117 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.2100 0.3900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6190 0.3810 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6190 0.3810 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 3.7300 3.4417 0.2883 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3702 0.4398 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51163 AGUA BIDESTILADA 250 ML 5.7900 3.8580 1.9320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8500 0.1500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4420 0.1580 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00031 AGULHA DESC 13 X 45 UN 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 1.1896 0.0904 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51240 FITA ADVANTAGE P/ GLICOSE UN 10.3500 9.6535 0.6965 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 4.8314 0.3486 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4157 0.1743 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1880 0.0720 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00091 SERINGA DESC 01 ML (INSULINA) UN 0.6100 0.2451 0.3649 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.1246 0.1854 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0930 0.0070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0930 0.0070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0930 0.0070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0930 0.0070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 234.2100 234.2039 0.0061 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5350 0.4650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dee5a0d03c4673fe8898c0a0fff00916 ANA NULL NULL 12276505648 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12254218741 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12254218741 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12254218741 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12254218741 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.2100 0.2070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12254218741 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12254218741 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8180 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1885 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.6853 0.2747 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.6853 0.2747 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3426 0.1374 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3426 0.1374 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3426 0.1374 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3458 0.1342 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.5140 0.0160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.5140 0.0160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51660 BROMETO DE IPRATROPIO SL IN GT 3.2000 0.0000 3.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0000 0.8000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4085 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4085 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 93ab10613d6a84b2e98ec68d66f5f061 LEOVEGILDO NULL NULL 12184124349 04938 LOSARTANA 50 MG CP VO UN 1.3300 0.6600 0.6700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 93ab10613d6a84b2e98ec68d66f5f061 LEOVEGILDO NULL NULL 12184124349 04938 LOSARTANA 50 MG CP VO UN 1.3300 0.6700 0.6600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 93ab10613d6a84b2e98ec68d66f5f061 LEOVEGILDO NULL NULL 12184124349 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.8320 0.8380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 93ab10613d6a84b2e98ec68d66f5f061 LEOVEGILDO NULL NULL 12184124349 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.8330 0.8370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 93ab10613d6a84b2e98ec68d66f5f061 LEOVEGILDO NULL NULL 12184124349 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2550 0.2550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12217705730 00098 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 54d59bca98bdfc6e3183f3c58c8080a2 ELIABY NULL NULL 12220882236 01603 GLICOSE 50% 10 ML SI IV AP 1.6400 1.6397 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 f75b8a3ca92d2c95e65d2fff98be2d29 FRANCISCO NULL NULL 12270769836 00069 SERINGA DESC 10 ML UN 0.3300 0.3298 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7781a83504beb0f6fc1c86041782e8a1 ELODY NULL NULL 12320802443 09733 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 31550 PREDNISONA 5 MG CP VO UN 0.3600 0.3570 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12183280231 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12217705730 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 644149ebf2a2c69f938aa1ae22f5ef7f MARIA NULL NULL 12185221839 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 49093 AGULHA P/ RAQUI 25G X 3,5 UN 0.0000 13.2584 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 19755 SONDA FOLEY 2 VIAS Nş 14 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 f6bc13441c49831fea25c1cb8e8ac9bc MARIA NULL NULL 12222623233 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 20.2784 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254419131 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f30234755d3a5cb6bb790e35e1dee0b0 MARILENE NULL NULL 12247587244 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3883 0.0117 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3883 0.0117 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3883 0.0117 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3883 0.0117 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4089 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3028 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3028 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3028 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3028 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 52941 Clorexidina Degermante 2% Fr30ml - Solução De Uso Tópico 0.0000 0.0000 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 0.0000 2.4900 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51649 ALCOOL ETILICO 70 % ST TP ML 0.0000 0.0500 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51649 ALCOOL ETILICO 70 % ST TP ML 0.0000 0.0500 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51514 ATORVASTATINA CALCICA 40 MG CP VO UN 0.0000 2.4700 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0000 0.5700 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0000 0.5700 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0000 0.5700 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0000 0.2900 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0000 0.2900 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0000 0.2900 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.0000 1.4508 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00031 AGULHA DESC 13 X 45 UN 0.0000 0.3800 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.0000 0.4800 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00169 SORO GLICOSADO 5% 500 ML SI IV BS 0.0000 4.7021 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 01603 GLICOSE 50% 10 ML SI IV AP 0.0000 4.3800 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 01603 GLICOSE 50% 10 ML SI IV AP 0.0000 2.1900 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 0.0000 3.0894 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 0.0000 3.0894 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 0.0000 3.0894 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 0.0000 3.0894 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 1.6640 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00124 LUVA CIRURGICA UN 0.0000 1.4500 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 0.0000 121.6700 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 01103 SONDA FOLEY 2 VIAS N 18 UN 0.0000 3.8174 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 000442 TAXA DE IRRADIAÇÃO NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00881 DEXCLORFENIRAMINA 2 MG CP VO UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00881 DEXCLORFENIRAMINA 2 MG CP VO UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54685 POLVIDINE ALCOOLICA NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 02355 AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML 36.4700 36.4650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 02355 AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML 36.4700 36.4650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 02355 AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML 36.4700 36.4650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 02355 AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML 36.4700 36.4650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 02355 AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML 36.4700 36.4650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00098 ABOCATH N 14 A 22 UN 3.7700 0.7536 3.0164 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00111 ABOCATH N 14 A 22 UN 3.7700 0.7538 3.0162 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.4730 0.5270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.3176 1.2724 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.3184 1.2716 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 0.9563 1.5937 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 25040014 Fisioterapia Respiratória - em Doente Clínico Internado 24.5600 10.5270 14.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 25040014 Fisioterapia Respiratória - em Doente Clínico Internado 24.5600 10.5270 14.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 32050038 RX Tórax: P. A. 15.7500 9.0010 6.7490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 32050038 RX Tórax: P. A. 15.7500 9.0010 6.7490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 25030019 Distúrbios Circulatórios Artério - Venosos e Linfáticos 22.9200 6.5400 16.3800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 25030019 Distúrbios Circulatórios Artério - Venosos e Linfáticos 22.9200 6.5500 16.3700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 25030019 Distúrbios Circulatórios Artério - Venosos e Linfáticos 22.9200 6.5500 16.3700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4628 0.0172 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4628 0.0172 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4628 0.0172 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4628 0.0172 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4628 0.0172 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 1.9000 1.8955 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1069 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 00826 TRANSAMIN (ACIDO TRANEXAMICO) 50 MG/ML 5 ML SI I 4.3800 3.2868 1.0932 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 51584 ESPARADRAPO MICROPORE 0.5100 0.3400 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 51584 ESPARADRAPO MICROPORE 0.5100 0.3400 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0350 0.1450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 00124 LUVA CIRURGICA UN 5.7900 1.9200 3.8700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00097 ABOCATH N 14 A 22 UN 3.7700 3.7660 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00097 ABOCATH N 14 A 22 UN 3.7700 3.7660 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.3720 0.2980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.0589 0.5311 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00090 SERINGA DESC 20 ML UN 0.5400 0.5130 0.0270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00090 SERINGA DESC 20 ML UN 0.5400 0.5130 0.0270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1763 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6700 0.3300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d2a64df14d76528bbd25fc52fbc92cae JOSE NULL NULL 12241648736 00124 LUVA CIRURGICA UN 1.4500 1.4470 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0b0d528834878a853de575d6fda99575 ANDRE NULL NULL 12276785149 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 64343 PERFUSOR BOMBA INFUSAO 60CM UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 25040014 ASSISTENCIA FISIATRICA RESPIRATORIA 0.0000 85.9740 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 28959 DERSANI LC TP ML 0.0000 9.7000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 64343 PERFUSOR BOMBA INFUSAO 60CM UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 25030019 DISTURBIOS CIRCULATORIOS ARTERIO VE 0.0000 0.0000 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 19178 SERINGA DESC 60 ML UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 57495 FILTRO BARREIRA E REGENERADOR DE CA 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 dee5a0d03c4673fe8898c0a0fff00916 ANA NULL NULL 12276505648 24554 FIO VICRYL 3-0 C/ AGULHA 2,0 3/8 J 0.0000 23.1094 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 dee5a0d03c4673fe8898c0a0fff00916 ANA NULL NULL 12276505648 29874 PROPOFOL 1% SI IV ML 0.0000 10.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 2abb44c4a2ca59174467848d6678378d JESUINA NULL NULL 12266838249 20010052 HOLTER DE 24 HORAS - 3 CANAIS - DIG 0.0000 0.0000 NULL EXAME(S) NAO JUSTIFICADO(S) SOB INT 0505
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 27162 ROPIVACAINA 10 MG/ML 20 ML SI PE M 0.0000 20.0520 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1056380 992ce258cf73e450d019e370c7b0e144 RENNE NULL NULL 12255299913 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 0.0000 NULL GUIA DE CONSULTA NAO EXECUTADA 0622
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 25030019 DISTURBIOS CIRCULATORIOS ARTERIO VE 0.0000 137.5584 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 93ab10613d6a84b2e98ec68d66f5f061 LEOVEGILDO NULL NULL 12184124349 31569 PROPRANOLOL 40 MG CP VO UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 93ab10613d6a84b2e98ec68d66f5f061 LEOVEGILDO NULL NULL 12184124349 00540 AGULHA DESC 13 X 45 UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 cc4c5c9ac52be7906f0b6ce08416d241 BRUNA NULL NULL 12267241344 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 0b0d528834878a853de575d6fda99575 ANDRE NULL NULL 12276785149 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0b0d528834878a853de575d6fda99575 ANDRE NULL NULL 12276785149 22756 LIDOCAINA 2% S/ VASO SI PE ML 0.0000 0.2055 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 c1f57a943a1055ad263b610d99977b67 ANITA NULL NULL 12248276839 34584 CAPTOPRIL 50 MG CP VO UN 0.0000 0.1593 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 635cd71723457924a301ac7a159d9b2b BATISTINA NULL NULL 12319870235 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 635cd71723457924a301ac7a159d9b2b BATISTINA NULL NULL 12319870235 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 9ceb7aa1edd4c9013f25d82381a85fb1 BENEDITA NULL NULL 12229148433 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321409939 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a2cb1d00214ab61900fac49444b1672c CARMEM NULL NULL 12297674446 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12330307230 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 33227 LUVA CIRURGICA UN 0.0000 1.4475 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320058937 19151 SERINGA DESC 10 ML UN 0.0000 0.6662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d1d2e0b986289681072cfb591ffd68af EUNICE NULL NULL 12325796035 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 33359 TRAMADOL 100 MG 2 ML SI IM IV AP 0.0000 17.9751 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 f75b8a3ca92d2c95e65d2fff98be2d29 FRANCISCO NULL NULL 12270769836 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 f75b8a3ca92d2c95e65d2fff98be2d29 FRANCISCO NULL NULL 12270769836 19160 SERINGA DESC 20 ML UN 0.0000 0.5380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 792c9785a1e3905ad1f4f4ddb78a9694 GERALDA NULL NULL 12321408539 19160 SERINGA DESC 20 ML UN 0.0000 1.0760 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0921fd1fdec226a623f2a3e272f6d27c GRASSIELA NULL NULL 12248207537 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 69b2457f91b8c9cd6710f195975451b7 IRANI NULL NULL 12255365939 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9c457292aaeaf9fb2625e0716629becd ISABELLA NULL NULL 12263855845 07536 MIDAZOLAM 15 MG CP VO UN 0.0000 1.6170 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 80b48beb268563c3e97e343f59e1bb64 JOAO NULL NULL 12243320148 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 12235405732 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 12235405732 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c4ded5870d9f9e4fcca132088e427e19 JOSE NULL NULL 12255378848 07528 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 0.0000 12.8679 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248305538 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248305538 27596 TIRA TESTE PARA GLICOSE UN 0.0000 2.5876 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248305538 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248305538 13404 OMEPRAZOL 40 MG + DIL. 10 ML PO IV 0.0000 19.5772 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bfe0dce5ba78a927b1ddf0f5d8bcfddc JOSE NULL NULL 12263204342 10723 GLICONATO DE CALCIO 100 MG/ML10ML S 0.0000 5.8064 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 013b155943183fa582252ca154e5569f JUVELINA NULL NULL 12165747648 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 013b155943183fa582252ca154e5569f JUVELINA NULL NULL 12165747648 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 013b155943183fa582252ca154e5569f JUVELINA NULL NULL 12165747648 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12286876434 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12286876434 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 93ab10613d6a84b2e98ec68d66f5f061 LEOVEGILDO NULL NULL 12184124349 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.2560 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 93ab10613d6a84b2e98ec68d66f5f061 LEOVEGILDO NULL NULL 12184124349 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5c8ab2d370e46d473148b3824dded22f LINI NULL NULL 12159460648 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.0460 0.3540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0000 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0000 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0000 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0000 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0120 0.0180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0120 0.0180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3901 0.0099 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3901 0.0099 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3901 0.0099 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3901 0.0099 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3901 0.0099 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7899 0.0201 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00124 LUVA CIRURGICA UN 1.4500 1.4480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00124 LUVA CIRURGICA UN 1.4500 1.4480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00124 LUVA CIRURGICA UN 1.4500 1.4480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00125 LUVA CIRURGICA UN 1.4500 1.4480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3073 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3073 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.3142 0.9658 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 18.3471 1.9329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 40.5600 36.6942 3.8658 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 60.8400 55.0413 5.7987 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2670 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2670 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2670 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2670 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5350 0.0650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5350 0.0650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2960 0.1040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2940 0.1060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2940 0.1060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 17252 LIDOCAINA 2% GE OU TP GR 2.5900 1.8467 0.7433 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 1.7000 0.0000 1.7000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 36731 Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) 4.8000 4.5400 0.2600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 03081 AMIODARONA 50 MG/ML 3ML SI IV AP 4.3900 4.3895 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4085 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 9.6200 6.8677 2.7523 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d4dbfd05ca467c79165606fc7735e38f MARIA NULL NULL 12312451147 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9c457292aaeaf9fb2625e0716629becd ISABELLA NULL NULL 12263855845 51589 ESPARADRAPO 10 X 4.5 CM CM 2.0000 0.3300 1.6700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9c457292aaeaf9fb2625e0716629becd ISABELLA NULL NULL 12263855845 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.5640 0.8460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9c457292aaeaf9fb2625e0716629becd ISABELLA NULL NULL 12263855845 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2abb44c4a2ca59174467848d6678378d JESUINA NULL NULL 12266838249 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2abb44c4a2ca59174467848d6678378d JESUINA NULL NULL 12266838249 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2abb44c4a2ca59174467848d6678378d JESUINA NULL NULL 12266838249 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3075 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7380 0.2620 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7380 0.2620 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7380 0.2620 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.4100 0.3200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321471846 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321471846 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2770 0.0230 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bfe0dce5ba78a927b1ddf0f5d8bcfddc JOSE NULL NULL 12263204342 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5800 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2761 0.0439 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6120 0.3880 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7781a83504beb0f6fc1c86041782e8a1 ELODY NULL NULL 12320802443 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2407 0.2393 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 51589 ESPARADRAPO 10 X 4.5 CM CM 2.0000 1.5120 0.4880 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00493 BROMOPRIDA 5 MG/ML 2 ML SI IM IV AP 8.2000 8.1961 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00124 LUVA CIRURGICA UN 4.3400 4.0800 0.2600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51419 FILTRO DE BARREIRA 24.0000 12.0000 12.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51419 FILTRO DE BARREIRA 24.0000 12.0000 12.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2630 0.2470 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.9000 0.6000 0.3000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 0.8100 0.3900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0b0d528834878a853de575d6fda99575 ANDRE NULL NULL 12276785149 20010010 Eletrocardiograma - Ecg 16.5300 8.2700 8.2600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0b0d528834878a853de575d6fda99575 ANDRE NULL NULL 12276785149 20010010 Eletrocardiograma - Ecg 16.5300 8.2600 8.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2500 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2fd28f5aa76be7aa2072537d0ba85951 ELAINE NULL NULL 12255258142 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a48e469abc716636c97d5b4032f77caa APARECIDA NULL NULL 12309719743 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a48e469abc716636c97d5b4032f77caa APARECIDA NULL NULL 12309719743 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a48e469abc716636c97d5b4032f77caa APARECIDA NULL NULL 12309719743 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a48e469abc716636c97d5b4032f77caa APARECIDA NULL NULL 12309719743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a48e469abc716636c97d5b4032f77caa APARECIDA NULL NULL 12309719743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a48e469abc716636c97d5b4032f77caa APARECIDA NULL NULL 12309719743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0000 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0000 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 1.2746 1.2754 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 2.5600 1.5000 1.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3565 0.0435 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 03280 CLOREXIDINA 2 % ST TP ML 1.6000 1.2000 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 9b5312a9b62e67e053cee9fae99cb3ca MARIANA NULL NULL 12327329933 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 9b5312a9b62e67e053cee9fae99cb3ca MARIANA NULL NULL 12327329933 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 01c86ea9e8701666ebfce68f2b0f03a6 ZELIA NULL NULL 12298014038 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 9b5312a9b62e67e053cee9fae99cb3ca MARIANA NULL NULL 12327329933 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5887 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.6400 0.6007 0.0393 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7290 0.2710 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7200 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51514 ATORVASTATINA CALCICA 40 MG CP VO UN 6.1800 3.4800 2.7000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51514 ATORVASTATINA CALCICA 40 MG CP VO UN 6.1800 3.4700 2.7100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.4216 0.3884 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12252609736 00098 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222597035 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 00091 SERINGA DESC 01 ML (INSULINA) UN 1.2300 0.5275 0.7025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2570 0.2530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1060 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1060 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.0597 0.4203 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.0581 0.4219 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.0581 0.4219 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.4400 0.1745 1.2655 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 76.9300 9.3276 67.6024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cfec8246cb6dd6b0209430096d4acc2e ZILDA NULL NULL 12216841040 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2560 0.1440 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.7941 0.7959 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.4300 0.3400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 00098 ABOCATH N 14 A 22 UN 3.7700 2.5108 1.2592 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 51241 AGULHA 123X45 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 2.3058 2.3042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12254155740 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0955 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3073 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2150 0.2950 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2150 0.2950 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2150 0.2950 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5250 0.0650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5150 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5150 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5150 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5150 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5150 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.0310 0.1490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51378 SERINGA DESC 03 ML UN 0.1500 0.1460 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51378 SERINGA DESC 03 ML UN 0.1500 0.1460 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51378 SERINGA DESC 03 ML UN 0.1500 0.1460 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51378 SERINGA DESC 03 ML UN 0.1500 0.1460 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00090 SERINGA DESC 20 ML UN 0.5400 0.4780 0.0620 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00090 SERINGA DESC 20 ML UN 0.5400 0.4780 0.0620 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00090 SERINGA DESC 20 ML UN 0.5400 0.4780 0.0620 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51379 SERINGA DESC 05 ML UN 0.1900 0.1774 0.0126 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3200 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.1800 0.2200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0455 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.0263 0.1737 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.3078 0.1022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.3078 0.1022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.3078 0.1022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.3078 0.1022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.3078 0.1022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.3078 0.1022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.3078 0.1022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2820 0.1180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2820 0.1180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2820 0.1180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 2.0200 1.4242 0.5958 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 2.3672 2.3628 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51660 BROMETO DE IPRATROPIO SL IN GT 0.0200 0.0000 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51660 BROMETO DE IPRATROPIO SL IN GT 0.6000 0.0000 0.6000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51660 BROMETO DE IPRATROPIO SL IN GT 0.6000 0.0000 0.6000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281439230 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281439230 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283867638 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 002e84540426cd384f5b22f477994999 STEPHANIE NULL NULL 12277394230 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d71f6961e3a28cee1dfd231f9d4a6f96 ISABELLA NULL NULL 12312539934 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 855b5eec2465ffe6bde8bad4f7ccdc93 ANDREIA NULL NULL 12321680935 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259333639 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 a1fdd21cd8fbd02e31350f0a5890f317 MARIA NULL NULL 12265559337 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 a1fdd21cd8fbd02e31350f0a5890f317 MARIA NULL NULL 12265559337 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.0000 1.6156 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 a1fdd21cd8fbd02e31350f0a5890f317 MARIA NULL NULL 12265559337 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 51c1cd7bf95e67c465e8eac45d6e828c JAQUELLINY NULL NULL 12254454032 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.0000 0.8078 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12261773339 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281439230 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 3e0e02debc0e7618b17615248d3c37d3 ABADIA NULL NULL 12321629119 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 2296172f96b83376f7e395dfd0f8304d ANTONIO NULL NULL 12310005116 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 cc4c5c9ac52be7906f0b6ce08416d241 BRUNA NULL NULL 12259490819 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321371519 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 875db5c3747de8d9b7d31d9822258ba0 CRISTIANO NULL NULL 12267189511 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 1e542d1d64da4e61fe05fbb5db9e06b0 DALVA NULL NULL 12323993812 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 3476f2e9ea965c3d6e10e4b3b814d450 EDMILSON NULL NULL 12283238517 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 160faa4740fe4679f6fbd15ce9d84e42 GABRIELA NULL NULL 12336867313 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 d71f6961e3a28cee1dfd231f9d4a6f96 ISABELLA NULL NULL 12312501418 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 76cda44fc4f696c69fc2698351fc0cae IVONE NULL NULL 12235250817 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 679bafba1e46e48177b69c2d8cb34c73 JOANA NULL NULL 12319613612 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12290889519 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 f4483e4f701e1727a8f20bb9f9250ee2 JOAO NULL NULL 12263447716 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 c1faaa4b4a03f9d2d976e0cf464be7c4 JOSE NULL NULL 12342943715 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298123613 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 c72cebd9d0b9e675b9c451a2b9dc0207 LUZIA NULL NULL 12269731513 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 9ffbbf7340bbd65e9e3baa9406d027f3 MARCO NULL NULL 12261689511 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 b36659d93b01d8bbfc6c7f71fd7c04e7 MARIA NULL NULL 12278747218 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 267c47fe19955bb4f620f53461023585 MARIA NULL NULL 12261745218 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 cf98c31c08ddc2665d7f922885af0f8b MARIA NULL NULL 12296737612 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 9b5312a9b62e67e053cee9fae99cb3ca MARIANA NULL NULL 12326725412 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 55344 REMIFENTANIL 2 MG PO IV ML 0.0000 2.3995 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 14370 FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ 0.0000 6.6869 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222598130 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222598130 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 6.8164 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283876047 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283876047 25739 ELETRODO DESCARTAVEL (UTI) UN 0.0000 3.6892 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 34010173 TOMOGRAFIA COMPUTADORIZADA DE ABDOM 0.0000 477.0390 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9dbb8f82efe7a16aa84c856804bd479e SEBASTIAO NULL NULL 12228729249 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 32905 EQUIPO POLIFIX 4ş VIAS UN 0.0000 15.2952 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 31828 PREDNISONA 20 MG CP VO UN 0.7500 0.7480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 21245 TIAMAZOL 5 MG CP VO UN 0.5000 0.4989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 09733 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 09733 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2459 0.0641 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2459 0.0641 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2459 0.0641 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2459 0.0641 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2459 0.0641 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1020 0.1580 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00090 SERINGA DESC 20 ML UN 0.5400 0.2090 0.3310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00090 SERINGA DESC 20 ML UN 0.5400 0.2090 0.3310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.0107 0.5793 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.0107 0.5793 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4800 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4800 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4800 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.2840 0.7160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.2840 0.7160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.2840 0.7160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.2840 0.7160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2500 0.1500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.2600 0.2070 0.0530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.0200 0.7100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.0200 0.7100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.0200 0.7100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7963 0.1637 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7963 0.1637 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5820 0.4180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 60f97c801a1d271daafad302f72f1214 MARCOS NULL NULL 12329560737 51240 FITA ADVANTAGE P/ GLICOSE UN 7.7600 7.7580 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 00037 AGULHA DESC 30 X 7 - 40X12 UN 1.1500 0.8455 0.3045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.0560 0.2440 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3000 0.1000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 00097 ABOCATH N 14 A 22 UN 3.7700 0.0000 3.7700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 54685 POLVIDINE ALCOOLICA 0.6000 0.3000 0.3000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 00919 ALGODAO HIDROFILO BOLINHA UN 0.1300 0.1270 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.5700 0.1000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 1.0200 0.0000 1.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 02252 METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL 15.2800 15.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3400 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3400 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8095 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51475 FUMARATO DE QUETIAPINA 25 MG CA VO UN 1.2500 1.2471 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51475 FUMARATO DE QUETIAPINA 25 MG CA VO UN 1.2500 1.2471 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2760 0.2040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2760 0.2040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2760 0.2040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.9200 1.1040 0.8160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.9200 1.1040 0.8160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 3.7500 2.1800 1.5700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 3.7500 2.1800 1.5700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 3.7500 2.1800 1.5700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 3.7500 2.1800 1.5700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 09070 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 09070 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5887 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5360 0.4640 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5320 0.4680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 51662 Simeticona frasco c/15 ml 1.2000 1.1400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 51662 Simeticona frasco c/15 ml 1.2000 1.1400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 51662 Simeticona frasco c/15 ml 1.2000 1.1400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 51662 Simeticona frasco c/15 ml 2.4000 2.2800 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8b09750a6d2390cf2ffd5dd76799599a IVON NULL NULL 12292121344 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7140 0.2860 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5990 0.4010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5990 0.4010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5990 0.4010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5990 0.4010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51584 ESPARADRAPO MICROPORE 0.3800 0.3780 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51584 ESPARADRAPO MICROPORE 0.7700 0.7670 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.8931 0.0369 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.8931 0.0369 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.8931 0.0369 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.8931 0.0369 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.8931 0.0369 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.1728 0.5172 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3100 0.1350 0.1750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5800 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00090 SERINGA DESC 20 ML UN 0.5400 0.5080 0.0320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51379 SERINGA DESC 05 ML UN 0.1900 0.0274 0.1626 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51379 SERINGA DESC 05 ML UN 0.1900 0.0274 0.1626 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51379 SERINGA DESC 05 ML UN 0.1900 0.0274 0.1626 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51379 SERINGA DESC 05 ML UN 0.1900 0.0274 0.1626 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51379 SERINGA DESC 05 ML UN 0.1900 0.0274 0.1626 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51379 SERINGA DESC 05 ML UN 0.5800 0.0836 0.4964 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1540 0.0260 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1540 0.0260 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1540 0.0260 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.6810 0.9090 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.6807 0.9093 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51589 ESPARADRAPO 10 X 4.5 CM CM 0.2000 0.1100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2100 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2100 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51584 ESPARADRAPO MICROPORE 0.2600 0.1540 0.1060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.8000 1.7960 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.1339 2.2761 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.1339 2.2761 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00069 SERINGA DESC 10 ML UN 0.3300 0.3190 0.0110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00069 SERINGA DESC 10 ML UN 0.3300 0.3190 0.0110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2540 0.2560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2540 0.2560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51584 ESPARADRAPO MICROPORE 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00093 SERINGA DESC 60 ML UN 7.6800 3.8400 3.8400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5065 0.0935 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5065 0.0935 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 54653 DERSANI LC TP ML 19.4000 5.8200 13.5800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 54687 IODOPOVIDONA SD TP ML 0.4000 0.3400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3869 0.0131 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3869 0.0131 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3869 0.0131 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3869 0.0131 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.4576 0.2324 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248313941 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2500 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.3719 0.2181 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.3719 0.2181 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 1.0000 0.8979 0.1021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 1.3300 1.1942 0.1358 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.5354 1.0746 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2100 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2000 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 0.0000 2.5500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 10.1392 10.1408 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1830 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1830 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1830 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1830 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1830 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.7489 0.1311 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.7485 0.1315 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.7485 0.1315 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51662 Simeticona frasco c/15 ml 1.0500 1.0200 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51662 Simeticona frasco c/15 ml 1.0500 1.0100 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6052 0.0848 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6052 0.0848 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6052 0.0848 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6052 0.0848 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 02246 HIDROCORTISONA 100 MG PO IM IV FA 8.5000 7.7002 0.7998 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0000 0.1000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0000 0.1000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2790 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5930 0.4070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5900 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51584 ESPARADRAPO MICROPORE 0.5100 0.4580 0.0520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51584 ESPARADRAPO MICROPORE 0.5100 0.4580 0.0520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51584 ESPARADRAPO MICROPORE 0.7700 0.6920 0.0780 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51219 ALENIA 1.1700 0.1670 1.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5407 0.0593 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5407 0.0593 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5407 0.0593 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4552 0.5048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.4400 0.6828 0.7572 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51649 ALCOOL ETILICO 70 % ST TP ML 0.0900 0.0700 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6150 0.3850 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6150 0.3850 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 25722 OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA 19.5800 19.5777 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 000451 TAXA DE ALIMENTACAO PARA ACOMPANHANTES - 3 REFEICO 23.4000 17.5500 5.8500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 000451 TAXA DE ALIMENTACAO PARA ACOMPANHANTES - 3 REFEICO 23.4000 17.5500 5.8500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 000451 TAXA DE ALIMENTACAO PARA ACOMPANHANTES - 3 REFEICO 23.4000 17.5500 5.8500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 51584 ESPARADRAPO MICROPORE 0.2600 0.2570 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 51584 ESPARADRAPO MICROPORE 0.2600 0.2570 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 999999 INSUMOS 40080200 1051.3800 525.6900 525.6900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5654 0.0346 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5654 0.0346 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 55223 Pirimetamina 25mg - Cpr 0.0700 0.0600 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 55223 Pirimetamina 25mg - Cpr 0.0700 0.0600 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.5600 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 29661 NOREPINEFRINA 2 MG/ML 4 ML SI IV A 0.0000 37.9856 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00124 LUVA CIRURGICA UN 1.4500 1.3200 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00124 LUVA CIRURGICA UN 1.4500 1.3100 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3025 0.0075 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00091 SERINGA DESC 01 ML (INSULINA) UN 1.2300 1.1977 0.0323 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51378 SERINGA DESC 03 ML UN 0.1500 0.0300 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51378 SERINGA DESC 03 ML UN 0.1500 0.0300 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51378 SERINGA DESC 03 ML UN 0.1500 0.0300 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51378 SERINGA DESC 03 ML UN 0.1500 0.0200 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00069 SERINGA DESC 10 ML UN 0.3300 0.1732 0.1568 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00069 SERINGA DESC 10 ML UN 0.3300 0.1732 0.1568 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2700 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2700 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2700 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 40.5600 40.5567 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 40.5600 40.5567 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1930 0.1070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3860 0.2140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3860 0.2140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51584 ESPARADRAPO MICROPORE 0.5100 0.3400 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51584 ESPARADRAPO MICROPORE 0.5100 0.3400 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51164 AGUA BIDESTILADA 500 ML 6.4300 6.4260 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3230 0.0770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3230 0.0770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 30813 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.3252 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 30813 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.3252 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 07293 DIPIRONA GOTAS 500 MG/ML SO VO GT 0.5300 0.5250 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 21261 TEICOPLANINA 400 MG + DIL. 3 ML PO 362.7200 362.7166 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 21261 TEICOPLANINA 400 MG + DIL. 3 ML PO 362.7200 362.7166 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 14460 DOMPERIDONA 10 MG CP VO UN 0.3900 0.0000 0.3900 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 14460 DOMPERIDONA 10 MG CP VO UN 0.3900 0.3900 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 63886 DIFENIDRAMINA 50mg/ml 1ml SI IM IV 14.2800 14.2752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 10820 FILGRASTIM 300 MCG 1 ML SI IV SC 0.0000 523.3778 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02735 TARGOCID (TEICOPLANINA) 400 MG 3 ML PO IM IV FA 362.7200 181.3591 181.3609 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00881 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.2652 0.0648 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00881 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.2652 0.0648 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00881 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.2652 0.0648 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00881 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.2652 0.0648 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00838 HIDRALAZINA 50 MG DG VO UN 0.3200 0.2700 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00838 HIDRALAZINA 50 MG DG VO UN 0.3200 0.2600 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00838 HIDRALAZINA 50 MG DG VO UN 0.3200 0.2600 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 7ca7367235c7b84ca7c24c8c993f8821 FRANCISCA NULL NULL 12341843617 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 54294 ZOLPIDEM 10 MG CP 1.2800 1.2788 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5868 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0250 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51241 AGULHA 123X45 1.0400 0.0000 1.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.5120 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7860 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 01101 SONDA FOLEY 2 VIAS N 14 UN 3.8200 3.8200 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2816 -0.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00919 ALGODAO HIDROFILO BOLINHA UN 0.5500 0.5120 0.0380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 1.3700 1.3700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 00090 SERINGA DESC 20 ML UN 0.5400 0.5360 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 51240 FITA ADVANTAGE P/ GLICOSE UN 54.3400 54.3400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5804 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.4000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00097 ABOCATH N 14 A 22 UN 3.7700 3.7624 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320508342 00919 ALGODAO HIDROFILO BOLINHA UN 0.1300 0.1300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320508342 31569 PROPRANOLOL 40 MG CP VO UN 0.1600 0.1600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283876047 51457 LIDOCAINA 2% S/ VASO SI PE SC ML 0.2300 0.2248 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283876047 00124 LUVA CIRURGICA UN 2.9000 2.8950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283876047 00124 LUVA CIRURGICA UN 2.9000 2.8950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 52216 GLICOSE 50% 20 ML SI IV AP 1.0700 1.0700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 52216 GLICOSE 50% 20 ML SI IV AP 1.0700 1.0634 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 73e4a44f4d56fac95aed807cb569d25b MARIO NULL NULL 12268522644 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 73e4a44f4d56fac95aed807cb569d25b MARIO NULL NULL 12268522644 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2540 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 01603 GLICOSE 50% 10 ML SI IV AP 2.1900 2.1900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.6500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20893 SUFENTANILA 50 MCG/ML 5 ML SI IV P 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19674 SONDA ENDOTRAQUEAL PVC C/B Nş 8,5 U 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 06da7e6171666c282a23b6bfaea34946 ANA NULL NULL 12311962340 57355 ESCITALOPRAM 10 MG CP VO UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 06da7e6171666c282a23b6bfaea34946 ANA NULL NULL 12311962340 57355 ESCITALOPRAM 10 MG CP VO UN 1.5900 1.5840 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0b0d528834878a853de575d6fda99575 ANDRE NULL NULL 12276785149 51240 FITA ADVANTAGE P/ GLICOSE UN 10.3500 10.3500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0b0d528834878a853de575d6fda99575 ANDRE NULL NULL 12276785149 00919 ALGODAO HIDROFILO BOLINHA UN 0.1300 0.1300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0b0d528834878a853de575d6fda99575 ANDRE NULL NULL 12276785149 00125 LUVA CIRURGICA UN 1.4500 1.4500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dee5a0d03c4673fe8898c0a0fff00916 ANA NULL NULL 12276505648 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dee5a0d03c4673fe8898c0a0fff00916 ANA NULL NULL 12276505648 00111 ABOCATH N 14 A 22 UN 3.7700 3.7670 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dee5a0d03c4673fe8898c0a0fff00916 ANA NULL NULL 12276505648 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.6700 0.6700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2816 -0.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 19496 METILPREDNISOLONA (SUCCINATO SODICO 0.0000 15.2783 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6673 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 09636 FLORATIL (SACCHAROMYCES BOULARDII) 0.0000 13.3287 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 07510 MIDAZOLAM 1 MG/ML 5 ML SI IV AP 0.0000 6.4490 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 2.9000 2.8950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54518 MIDAZOLAM 5 MG/ML 10 ML SI IV AP 130.4200 130.4196 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 14.4000 14.3970 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.4043 -0.0043 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.4043 -0.0043 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.4043 -0.0043 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 37761 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0300 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 37761 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0600 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 56723 DIETA DIABETES (C/CARBOIDRATO DE AB 109.2000 109.2000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27316 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.7037 -0.0037 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 22748 LIDOCAINA 2% GE TP OU GR 2.5900 2.4464 0.1436 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 13757 IODOPOVIDONA SD TP ML 0.4000 0.4000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 40.5600 40.5568 0.0032 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33219 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6650 0.0050 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33219 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6650 0.0050 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33219 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6650 0.0050 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 29580 FRASCO P/NUTRIÇAO ENTERAL 300 LACRE 2.4700 2.4723 -0.0023 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 a48e469abc716636c97d5b4032f77caa APARECIDA NULL NULL 12309719743 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5868 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20931 SULFATO DE MAGNESIO 100 MG/ML 10 ML 0.0000 1.8956 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 1.2000 1.2000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.9000 0.9000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.6000 0.6000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.3000 0.3000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.3000 0.3000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33219 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 1.5400 1.5360 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33693 LEVOFLOXACINO 5 MG/ML 100 ML SI IV 105.6800 105.6772 0.0028 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33693 LEVOFLOXACINO 5 MG/ML 100 ML SI IV 105.6800 105.6772 0.0028 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 56723 DIETA DIABETES (C/CARBOIDRATO DE AB 11.7000 11.8300 -5.9800 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 56723 DIETA DIABETES (C/CARBOIDRATO DE AB 146.2500 146.3800 -5.9800 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 56723 DIETA DIABETES (C/CARBOIDRATO DE AB 146.1200 146.2500 -5.8500 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 13757 IODOPOVIDONA SD TP ML 0.4000 0.4000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 13757 IODOPOVIDONA SD TP ML 0.4000 0.4000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 28959 DERSANI LC TP ML 9.7000 10.6700 -0.9700 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 28959 DERSANI LC TP ML 29.1000 29.1000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 55018 ALGINATO DE CALCIO EM HIDROGEL GL 6.9000 7.5900 -0.6900 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 29580 FRASCO P/NUTRIÇAO ENTERAL 300 LACRE 2.4700 2.4723 -0.0023 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 50598 ATROPINA 0,25 MG SI IV AP 0.4800 0.4842 -0.0042 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4055 0.0045 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4055 0.0045 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4055 0.0045 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19135 SERINGA DESC 03 ML UN 0.1500 0.1500 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 30015 ACIDO ACETILSALICILICO 100 MG CP V 0.1400 0.1400 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 30015 ACIDO ACETILSALICILICO 100 MG CP V 0.1400 0.1400 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19143 SERINGA DESC 05 ML UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19143 SERINGA DESC 05 ML UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19143 SERINGA DESC 05 ML UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 21261 TEICOPLANINA 400 MG + DIL. 3 ML PO 362.7200 362.7183 0.0017 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1813 -0.0013 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1813 -0.0013 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1813 0.0087 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1813 0.0087 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 56723 DIETA DIABETES (C/CARBOIDRATO DE AB 143.0000 143.1300 -2.7300 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11363 ESCOPOLAMINA 20 MG/ML 1 ML SI IM I 1.0200 1.0239 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 20559 SORO FISIOLOGICO 0,9% 250 ML SI IV 3.9400 3.9447 -0.0047 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 20559 SORO FISIOLOGICO 0,9% 250 ML SI IV 3.9400 3.9447 -0.0047 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 14087 METRONIDAZOL 500 MG 100 ML SI IV B 7.0800 7.0809 -0.0009 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 09636 FLORATIL (SACCHAROMYCES BOULARDII) 4.4400 4.4429 -0.0029 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 09636 FLORATIL (SACCHAROMYCES BOULARDII) 4.4400 4.4429 -0.0029 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 09636 FLORATIL (SACCHAROMYCES BOULARDII) 4.4400 4.4429 -0.0029 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 31585 RANITIDINA 25 MG/ML 2 ML SI IV IM 0.9300 0.9337 -0.0037 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 31585 RANITIDINA 25 MG/ML 2 ML SI IV IM 0.9300 0.9337 -0.0037 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19151 SERINGA DESC 10 ML UN 0.3300 0.3331 -0.0031 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19151 SERINGA DESC 10 ML UN 0.3300 0.3331 -0.0031 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19151 SERINGA DESC 10 ML UN 0.3300 0.3331 -0.0031 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.4800 0.4808 -0.0008 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.4800 0.4808 -0.0008 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.4800 0.4808 -0.0008 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.4800 0.4808 -0.0008 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.4800 0.4808 -0.0008 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.4800 0.4808 -0.0008 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.4800 0.4808 -0.0008 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 2.8800 2.8848 -0.0048 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32891 EQUIPO POLIFIX 2ş VIAS UN 2.5500 2.5492 0.0008 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 34487 MEROPENEM 1G PO IV FA 154.3800 154.3807 -0.0007 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 34487 MEROPENEM 1G PO IV FA 154.3800 154.3807 -0.0007 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 29580 FRASCO P/NUTRIÇAO ENTERAL 300 LACRE 2.4700 2.4723 -0.0023 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 29580 FRASCO P/NUTRIÇAO ENTERAL 300 LACRE 2.4700 2.4723 -0.0023 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12190351843 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12190351843 31550 PREDNISONA 5 MG CP VO UN 0.3600 0.3600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12190351843 31550 PREDNISONA 5 MG CP VO UN 0.3600 0.3540 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33693 LEVOFLOXACINO 5 MG/ML 100 ML SI IV 0.0000 105.6772 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.6000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.6000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51584 ESPARADRAPO MICROPORE 0.5300 0.5300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51584 ESPARADRAPO MICROPORE 0.5300 0.5300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51584 ESPARADRAPO MICROPORE 0.5300 0.5300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 1.1900 1.1900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321471846 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6826 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321471846 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a2cb1d00214ab61900fac49444b1672c CARMEM NULL NULL 12297674446 00090 SERINGA DESC 20 ML UN 0.5400 0.5360 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a2cb1d00214ab61900fac49444b1672c CARMEM NULL NULL 12297674446 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12234060246 00090 SERINGA DESC 20 ML UN 0.5400 0.5340 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12234060246 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2520 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 00090 SERINGA DESC 20 ML UN 0.5400 0.5320 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 11.6800 11.6800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 5.8400 5.8400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 5.8400 5.8400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 2.6400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5804 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 01582 EPINEFRINA 1 MG/ML 1 ML SI IM IV SC AP 1.9700 1.9700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 20.9900 20.9855 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00174 Soro Ringer C/ Lactato Bolsa C/ 500ml 10.5600 10.5546 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 20362 SONDA URETRAL N 10 UN 0.4300 0.4300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 03280 CLOREXIDINA 2 % ST TP ML 0.2800 0.1533 0.1267 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 03280 CLOREXIDINA 2 % ST TP ML 0.5500 0.2787 0.2713 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.2100 0.2100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2fd28f5aa76be7aa2072537d0ba85951 ELAINE NULL NULL 12255258142 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2fd28f5aa76be7aa2072537d0ba85951 ELAINE NULL NULL 12255258142 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4064 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7781a83504beb0f6fc1c86041782e8a1 ELODY NULL NULL 12320802443 52386 CLORETO DE SODIO 20% 10 ML SI IV AP 2.1900 2.1900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 21261 TEICOPLANINA 400 MG + DIL. 3 ML PO 362.7200 362.7183 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 21261 TEICOPLANINA 400 MG + DIL. 3 ML PO 362.7200 362.7183 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51616 ANLODIPINO 10 MG CP VO UN 0.7100 0.7100 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51616 ANLODIPINO 10 MG CP VO UN 0.7100 0.7100 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00111 ABOCATH N 14 A 22 UN 3.7700 3.7700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.4100 0.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 24571 CLINDAMICINA 600 MG 4 ML SI IM IV AP 26.1600 26.1560 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00124 LUVA CIRURGICA UN 1.4500 1.4450 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9c457292aaeaf9fb2625e0716629becd ISABELLA NULL NULL 12263855845 51208 SORO RINGER SIMPLES 500 ML SI IV BS 11.8800 11.8800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9c457292aaeaf9fb2625e0716629becd ISABELLA NULL NULL 12263855845 51208 SORO RINGER SIMPLES 500 ML SI IV BS 11.8800 11.8800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9c457292aaeaf9fb2625e0716629becd ISABELLA NULL NULL 12263855845 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 56391 SUCRALFATO 200 MG/ML 10 ML SO VO F 3.0200 3.0200 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 56391 SUCRALFATO 200 MG/ML 10 ML SO VO F 3.0200 3.0290 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 01583 NEOSTIGMINA 0,5 MG/ML 1 ML SI IM IV SC AP 0.7700 0.7700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.6000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.6000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5972 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 01313 MIDAZOLAM 1 MG/ML 5 ML SI IV AP 6.4500 6.4480 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7840 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51584 ESPARADRAPO MICROPORE 0.5300 0.5154 0.0146 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51584 ESPARADRAPO MICROPORE 0.5300 0.4909 0.0391 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 1.9600 1.1275 0.0125 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51230 AGULHA DESC 30 X 7 - 40X12 UN 3.3060 1.9470 -0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51230 AGULHA DESC 30 X 7 - 40X12 UN 3.3060 1.9470 -0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51230 AGULHA DESC 30 X 7 - 40X12 UN 3.3060 1.9470 -0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 13.6300 13.6300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8200 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4034 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 1.8700 1.8700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5468 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 3.1800 3.1800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00090 SERINGA DESC 20 ML UN 3.7700 3.7700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00090 SERINGA DESC 20 ML UN 1.6100 1.6100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3022 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3963 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c4ded5870d9f9e4fcca132088e427e19 JOSE NULL NULL 12255378848 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5836 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 26999 GANCICLOVIR 500 MG + DIL. PO IV F 151.0400 151.0374 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0f992b408cbd27a95de887ea229c0b26 JORGINA NULL NULL 12321704643 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.6000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0f992b408cbd27a95de887ea229c0b26 JORGINA NULL NULL 12321704643 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.6000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0f992b408cbd27a95de887ea229c0b26 JORGINA NULL NULL 12321704643 31410 NORFLOXACINO 400 MG CP VO UN 1.3000 1.2960 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3400 0.0939 0.2461 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 20.9900 20.9855 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5868 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 00097 ABOCATH N 14 A 22 UN 3.7700 3.7624 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 1.9953 0.9260 0.4740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 30813 DEXCLORFENIRAMINA 2 MG CP VO UN 0.6500 0.6504 -0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 30813 DEXCLORFENIRAMINA 2 MG CP VO UN 0.6500 0.6504 -0.0004 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0100 0.6758 0.3342 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01503 HIDRALAZINA 50 MG DG VO UN 0.3200 0.6400 -0.3200 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01503 HIDRALAZINA 50 MG DG VO UN 0.6400 0.6400 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1845 0.0855 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1845 0.0855 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.3354 0.1846 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 00919 ALGODAO HIDROFILO BOLINHA UN 0.2900 0.2816 0.0084 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 00919 ALGODAO HIDROFILO BOLINHA UN 0.5400 0.5376 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 00128 LUVA DE PROCEDIMENTO UNIDADE UN 3.3300 3.3300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00097 ABOCATH N 14 A 22 UN 3.7700 3.7700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00097 ABOCATH N 14 A 22 UN 3.7700 3.7624 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 19500 METILPREDNISOLONA (SUCCINATO SODICO 97.1500 97.1454 0.0046 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 19500 METILPREDNISOLONA (SUCCINATO SODICO 97.1500 97.1454 0.0046 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 36684 FILTRO DE LEUCOCITOS UN 0.0000 104.2400 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5476 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 00097 ABOCATH N 14 A 22 UN 3.7700 3.7624 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 1.2800 1.2800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d4dbfd05ca467c79165606fc7735e38f MARIA NULL NULL 12312451147 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 01603 GLICOSE 50% 10 ML SI IV AP 2.1900 2.1888 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 52.2500 52.2500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP 75.9700 75.9680 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.4000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.2355 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51584 ESPARADRAPO MICROPORE 0.2700 0.2816 -0.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51584 ESPARADRAPO MICROPORE 0.2700 0.2560 0.0140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5836 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dc0262e6d5010acfe6a18c66d0d30ed3 OSMIDA NULL NULL 12264720947 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dc0262e6d5010acfe6a18c66d0d30ed3 OSMIDA NULL NULL 12264720947 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dc0262e6d5010acfe6a18c66d0d30ed3 OSMIDA NULL NULL 12264720947 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2752 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1239 0.1461 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1239 0.1461 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f46c55d85311b267c39a3c36a11c1704 WILSON NULL NULL 12288777248 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 18716 RISPERIDONA 1 MG CP VO UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 57266 FUMARATO DE QUETIAPINA 100 MG CP 8.6100 8.6076 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 09b825abc9ef518ba223f29f2bf7c07b WALDEMAR NULL NULL 12171249749 26083 Prolopa 50/200mg Cp. 2.1200 2.1200 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 09b825abc9ef518ba223f29f2bf7c07b WALDEMAR NULL NULL 12171249749 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51195 Prednisolona 20mg Cp. 0.7500 0.7500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51584 ESPARADRAPO MICROPORE 0.5100 0.5100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51584 ESPARADRAPO MICROPORE 0.5100 0.5100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9984 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00031 AGULHA DESC 13 X 45 UN 0.7800 0.7751 0.0049 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00919 ALGODAO HIDROFILO BOLINHA UN 0.3456 0.3072 0.0128 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00919 ALGODAO HIDROFILO BOLINHA UN 0.3000 0.2560 0.0440 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.5120 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1224 0.1476 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1224 0.1476 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 28959 DERSANI LC TP ML 0.0000 9.7000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00169 SORO GLICOSADO 5% 500 ML SI IV BS 10.3800 10.3800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 04242 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 14.4000 14.4000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6900 1.3214 0.3686 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 2.3900 2.3900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.2000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.2000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 54294 ZOLPIDEM 10 MG CP 1.2800 1.2800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 02739 BOLSA COLETORA (SISTEMA FECHADO) UN 0.0000 5.9311 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 19917 SONDA NASOGASTRICA LONGA Nş 18 UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 53880 FIO ACIFLEX 2-0 S/ AG BSS - 28T EV 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 17310 IODOPOVIDONA ALCOOLICA SL TP ML 0.9000 0.9000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 3.1800 3.1768 0.0032 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 08648 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.4000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 08648 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.4000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2816 -0.0216 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2816 -0.0216 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 27316 EQUIPO P/ DIETA ENTERAL UN 0.0000 1.7037 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 15010023 Hemodiálise (Por Sessão) NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2816 -0.0216 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 11193 CLOREXIDINA 2 % ST TP ML 1.7051 1.7074 -0.1074 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 6.3500 6.3536 -0.0036 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 00817 ALGODAO HIDROFILO BOLINHA UN 0.5612 0.5888 -0.0788 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 25030019 DISTURBIOS CIRCULATORIOS ARTERIO VE 0.0000 0.0000 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 09318 FIO MARCA PASSO E.P15/MP.285 UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 20044 SONDA NASOGASTRICA CURTA Nş 16 UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.2300 0.2056 0.0244 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6900 1.3214 0.3686 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51164 AGUA BIDESTILADA 500 ML 6.4300 6.4300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00169 SORO GLICOSADO 5% 500 ML SI IV BS 10.3800 10.3800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 34614 ATORVASTATINA CALCICA 10 MG CP VO 1.4900 1.4900 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 34614 ATORVASTATINA CALCICA 10 MG CP VO 1.4900 1.4900 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1224 0.1476 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.5120 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2816 -0.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00737 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 54.1284 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.6000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.6000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00919 ALGODAO HIDROFILO BOLINHA UN 0.3456 0.3072 0.0128 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00031 AGULHA DESC 13 X 45 UN 0.6100 0.5813 0.0287 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 2.0600 0.0000 2.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.3600 0.0000 0.3600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51475 FUMARATO DE QUETIAPINA 25 MG CA VO UN 1.2500 1.2413 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51475 FUMARATO DE QUETIAPINA 25 MG CA VO UN 1.2500 1.2500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 09b825abc9ef518ba223f29f2bf7c07b WALDEMAR NULL NULL 12171249749 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 18716 RISPERIDONA 1 MG CP VO UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f46c55d85311b267c39a3c36a11c1704 WILSON NULL NULL 12288777248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5828 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f46c55d85311b267c39a3c36a11c1704 WILSON NULL NULL 12288777248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 54294 ZOLPIDEM 10 MG CP 1.2800 1.2800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1239 0.1461 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6cc91d0bae7ee80faf1515c3c1bc4604 OLGA NULL NULL 12241643640 00404 LACTULOSE 667 MG/ML XP VO ML 8.5800 8.5800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6cc91d0bae7ee80faf1515c3c1bc4604 OLGA NULL NULL 12241643640 01603 GLICOSE 50% 10 ML SI IV AP 2.1900 2.1888 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dc0262e6d5010acfe6a18c66d0d30ed3 OSMIDA NULL NULL 12264720947 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dc0262e6d5010acfe6a18c66d0d30ed3 OSMIDA NULL NULL 12264720947 00919 ALGODAO HIDROFILO BOLINHA UN 0.5500 0.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00407 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.8800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51584 ESPARADRAPO MICROPORE 0.5200 0.5120 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51584 ESPARADRAPO MICROPORE 0.2700 0.2560 0.0140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51584 ESPARADRAPO MICROPORE 0.2100 0.2816 -0.0716 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 56650 DIETA HIPERCALORICA HIPERPROTEICA S 79.2700 79.2700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 52391 SONDA PLAST ASPIRAÇAO TRAQUEAL C/ VALVULA UN 2.4900 2.4900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 2.4900 2.4900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.4000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00170 SORO GLICOSADO 5% 250 ML SI IV BS 6.7900 6.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP 37.9900 37.9900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9313 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d4dbfd05ca467c79165606fc7735e38f MARIA NULL NULL 12312451147 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 57355 ESCITALOPRAM 10 MG CP VO UN 1.5900 1.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6826 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 00125 LUVA CIRURGICA UN 1.4500 1.4450 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4046 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.3354 0.1846 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9976 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 41.9800 41.9800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01503 HIDRALAZINA 50 MG DG VO UN 0.3200 0.3200 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00127 LUVA DE PROCEDIMENTO UNIDADE UN 3.3600 2.2526 1.1074 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0100 0.6758 0.3342 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0100 0.6758 0.3342 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 30813 DEXCLORFENIRAMINA 2 MG CP VO UN 0.9800 0.9756 0.0044 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 30813 DEXCLORFENIRAMINA 2 MG CP VO UN 0.9800 0.9756 0.0044 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51379 SERINGA DESC 05 ML UN 3.4191 1.3118 1.0982 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 31291 METRONIZADOL 250 MG CP VO UN 0.2200 0.2200 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 31291 METRONIZADOL 250 MG CP VO UN 0.2200 0.2200 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00090 SERINGA DESC 20 ML UN 0.5400 0.5340 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 00097 ABOCATH N 14 A 22 UN 3.7700 3.7700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 00090 SERINGA DESC 20 ML UN 0.5400 0.5340 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 013b155943183fa582252ca154e5569f JUVELINA NULL NULL 12165747648 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2540 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248313941 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248313941 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3400 0.0939 0.2461 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3400 0.0939 0.2461 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0f992b408cbd27a95de887ea229c0b26 JORGINA NULL NULL 12321704643 31410 NORFLOXACINO 400 MG CP VO UN 1.3000 1.3000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 34860 SULFAMETOXAZOL 400 MG + TRIMETOPRIM 0.3500 0.3450 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8b09750a6d2390cf2ffd5dd76799599a IVON NULL NULL 12292121344 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.2100 0.2140 -0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bfe0dce5ba78a927b1ddf0f5d8bcfddc JOSE NULL NULL 12263204342 52216 GLICOSE 50% 20 ML SI IV AP 10.6800 10.6770 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c4ded5870d9f9e4fcca132088e427e19 JOSE NULL NULL 12255378848 00090 SERINGA DESC 20 ML UN 0.5400 0.5340 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5868 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.4000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00563 ATROPINA 0,50 MG SI IV AP 0.6500 0.6492 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00563 ATROPINA 0,50 MG SI IV AP 1.3000 1.3000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00090 SERINGA DESC 20 ML UN 1.0800 1.0740 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00090 SERINGA DESC 20 ML UN 2.6900 2.6900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00097 ABOCATH N 14 A 22 UN 3.7700 3.7622 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 1.8700 1.8700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8200 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51230 AGULHA DESC 30 X 7 - 40X12 UN 3.3060 1.9470 -0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 2.0100 1.1275 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 1.9600 1.1275 0.0125 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00919 ALGODAO HIDROFILO BOLINHA UN 0.2800 0.2816 -0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00919 ALGODAO HIDROFILO BOLINHA UN 0.2800 0.2816 -0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00919 ALGODAO HIDROFILO BOLINHA UN 0.2800 0.2816 -0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51584 ESPARADRAPO MICROPORE 0.2800 0.2700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7860 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 56650 DIETA HIPERCALORICA HIPERPROTEICA S 85.0706 85.1440 -11.7440 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5804 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51616 ANLODIPINO 10 MG CP VO UN 0.7100 0.7100 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 2fd28f5aa76be7aa2072537d0ba85951 ELAINE NULL NULL 12255258142 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2fd28f5aa76be7aa2072537d0ba85951 ELAINE NULL NULL 12255258142 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00186 BICARBONATO DE SODIO 8,4% 10 ML SI IV AP 3.9800 3.9800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9976 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00090 SERINGA DESC 20 ML UN 2.1500 2.1500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.5100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 2.6400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00124 LUVA CIRURGICA UN 1.4500 1.4500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 5.8400 5.8400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 20.9900 20.9840 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12234060246 31569 PROPRANOLOL 40 MG CP VO UN 0.1600 0.1600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2934 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1710 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 3.9025 2.1525 0.0075 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.6000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 10.2200 10.2200 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12190351843 57266 FUMARATO DE QUETIAPINA 100 MG CP 8.6100 8.6052 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12190351843 57266 FUMARATO DE QUETIAPINA 100 MG CP 8.6100 8.6100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 29580 FRASCO P/NUTRIÇAO ENTERAL 300 LACRE 2.4700 2.4723 -0.0023 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 29580 FRASCO P/NUTRIÇAO ENTERAL 300 LACRE 2.4700 2.4723 -0.0023 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 34487 MEROPENEM 1G PO IV FA 154.3800 154.3807 -0.0007 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 34487 MEROPENEM 1G PO IV FA 154.3800 154.3807 -0.0007 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 55018 ALGINATO DE CALCIO EM HIDROGEL GL 13.8000 13.8000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11193 CLOREXIDINA 2 % ST TP ML 0.5300 0.5320 -0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11193 CLOREXIDINA 2 % ST TP ML 0.5300 0.5320 -0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 2.8800 2.8848 -0.0048 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 1.4400 1.4424 -0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.4800 0.4808 -0.0008 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.4800 0.4808 -0.0008 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.4800 0.4808 -0.0008 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.4800 0.4808 -0.0008 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00817 ALGODAO HIDROFILO BOLINHA UN 0.5356 0.5632 -0.0532 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00817 ALGODAO HIDROFILO BOLINHA UN 0.5612 0.5888 -0.0788 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19151 SERINGA DESC 10 ML UN 0.3300 0.3331 -0.0031 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19151 SERINGA DESC 10 ML UN 0.3300 0.3331 -0.0031 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19151 SERINGA DESC 10 ML UN 0.3300 0.3331 -0.0031 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19151 SERINGA DESC 10 ML UN 0.3300 0.3331 -0.0031 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19151 SERINGA DESC 10 ML UN 0.3300 0.3331 -0.0031 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19151 SERINGA DESC 10 ML UN 0.3300 0.3331 -0.0031 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 31585 RANITIDINA 25 MG/ML 2 ML SI IV IM 0.9300 0.9337 -0.0037 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 31585 RANITIDINA 25 MG/ML 2 ML SI IV IM 0.9300 0.9337 -0.0037 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 09636 FLORATIL (SACCHAROMYCES BOULARDII) 4.4400 4.4429 -0.0029 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 14087 METRONIDAZOL 500 MG 100 ML SI IV B 7.0800 7.0809 -0.0009 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 20559 SORO FISIOLOGICO 0,9% 250 ML SI IV 3.9400 3.9447 -0.0047 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11363 ESCOPOLAMINA 20 MG/ML 1 ML SI IM I 1.0200 1.0239 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11363 ESCOPOLAMINA 20 MG/ML 1 ML SI IM I 1.0200 1.0239 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1813 0.0087 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 29661 NOREPINEFRINA 2 MG/ML 4 ML SI IV A 37.9900 37.9856 0.0044 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19143 SERINGA DESC 05 ML UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19143 SERINGA DESC 05 ML UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19143 SERINGA DESC 05 ML UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19143 SERINGA DESC 05 ML UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19135 SERINGA DESC 03 ML UN 0.1500 0.1500 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19135 SERINGA DESC 03 ML UN 0.1500 0.1500 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19135 SERINGA DESC 03 ML UN 0.1500 0.1500 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19135 SERINGA DESC 03 ML UN 0.1500 0.1500 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4055 0.0045 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4055 0.0045 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4055 0.0045 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 41858 CLOPIDOGREL 75 MG CP VO UN 1.7900 1.7900 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 41858 CLOPIDOGREL 75 MG CP VO UN 1.7900 1.7900 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 41858 CLOPIDOGREL 75 MG CP VO UN 1.7900 1.7900 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 50598 ATROPINA 0,25 MG SI IV AP 1.4500 1.4526 -0.0026 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 50598 ATROPINA 0,25 MG SI IV AP 0.4800 0.4842 -0.0042 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 37761 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0600 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 37761 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0300 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 201006 TAXA DE SALA PORTE V 299.9900 599.9967 -300.0067 PROCEDIMENTO NAO REALIZADO OU NAO I 0403
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 20370 SONDA URETRAL Nş 12 UN 0.7600 0.7558 0.0042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 20370 SONDA URETRAL Nş 12 UN 0.7600 0.7558 0.0042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 20.2784 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 635cd71723457924a301ac7a159d9b2b BATISTINA NULL NULL 12319870235 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 9ceb7aa1edd4c9013f25d82381a85fb1 BENEDITA NULL NULL 12229148433 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 34010130 TOMOGRAFIA COMPUTADORIZADA DO TORAX 0.0000 280.6875 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 19763 SONDA FOLEY 2 VIAS Nş 16 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 20923 SULFATO DE MAGNESIO 500 MG/ML 10 ML 0.0000 1.3573 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 20672 SORO RINGER SIMPLES 500 ML SI IV 0.0000 5.9383 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cc4c5c9ac52be7906f0b6ce08416d241 BRUNA NULL NULL 12267241344 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a2cb1d00214ab61900fac49444b1672c CARMEM NULL NULL 12297674446 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a2cb1d00214ab61900fac49444b1672c CARMEM NULL NULL 12297674446 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2fd28f5aa76be7aa2072537d0ba85951 ELAINE NULL NULL 12255258142 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 54d59bca98bdfc6e3183f3c58c8080a2 ELIABY NULL NULL 12220882236 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 54d59bca98bdfc6e3183f3c58c8080a2 ELIABY NULL NULL 12325813637 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 34010130 TOMOGRAFIA COMPUTADORIZADA DO TORAX 0.0000 280.6875 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d1d2e0b986289681072cfb591ffd68af EUNICE NULL NULL 12325796035 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 55344 REMIFENTANIL 2 MG PO IV ML 0.0000 2.3995 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 f75b8a3ca92d2c95e65d2fff98be2d29 FRANCISCO NULL NULL 12270769836 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 f75b8a3ca92d2c95e65d2fff98be2d29 FRANCISCO NULL NULL 12270769836 07528 MIDAZOLAM 5 MG/ML 3 ML SI IV AP 0.0000 25.7358 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 10626 GLICOSE 50% 10 ML SI IV AP 0.0000 2.1896 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 11.5760 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 69b2457f91b8c9cd6710f195975451b7 IRANI NULL NULL 12255365939 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 69b2457f91b8c9cd6710f195975451b7 IRANI NULL NULL 12255365939 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9c457292aaeaf9fb2625e0716629becd ISABELLA NULL NULL 12263855845 20885 SUFENTANILA 50 MCG/ML 1 ML SI IV P 0.0000 19.1586 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222531131 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222531131 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 05b1f0e1319ebc19385e39a443384241 JACOB NULL NULL 12274165832 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 05b1f0e1319ebc19385e39a443384241 JACOB NULL NULL 12274165832 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 afb55c8be5f6cc50fb22f7a5aa0cd72f JACQUELINE NULL NULL 12265038634 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 afb55c8be5f6cc50fb22f7a5aa0cd72f JACQUELINE NULL NULL 12265038634 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 afb55c8be5f6cc50fb22f7a5aa0cd72f JACQUELINE NULL NULL 12265038634 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 33545 PIPERACILINA 4 G + TAZOBACTAM 500 M 0.0000 83.4493 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291130231 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291130231 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 80b48beb268563c3e97e343f59e1bb64 JOAO NULL NULL 12243320148 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.2560 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 12235405732 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.0000 0.8078 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248305538 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248305538 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248305538 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bfe0dce5ba78a927b1ddf0f5d8bcfddc JOSE NULL NULL 12263204342 00540 AGULHA DESC 13 X 45 UN 0.0000 0.7688 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 2e2f03e046097465ccdb246bcd3e2aa7 JUAREZ NULL NULL 12317886530 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 71f935ca8fab6cccb6233fa8781155c0 LARA NULL NULL 12238580932 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 71f935ca8fab6cccb6233fa8781155c0 LARA NULL NULL 12238580932 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 93ab10613d6a84b2e98ec68d66f5f061 LEOVEGILDO NULL NULL 12184124349 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5993 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0000 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0000 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0000 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0000 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0000 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3901 0.0099 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3901 0.0099 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3901 0.0099 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3901 0.0099 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3901 0.0099 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3901 0.0099 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3901 0.0099 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00124 LUVA CIRURGICA UN 1.4500 1.4480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00124 LUVA CIRURGICA UN 1.4500 1.4480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3073 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2550 0.2550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.3142 0.9658 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 18.3471 1.9329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 18.3471 1.9329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 18.3471 1.9329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 18.3471 1.9329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5350 0.0650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5350 0.0650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5350 0.0650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5350 0.0650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5350 0.0650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2940 0.1060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 17252 LIDOCAINA 2% GE OU TP GR 2.5900 1.8468 0.7432 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 36731 Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) 4.8000 4.5400 0.2600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 03081 AMIODARONA 50 MG/ML 3ML SI IV AP 13.1700 13.1687 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4085 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9c457292aaeaf9fb2625e0716629becd ISABELLA NULL NULL 12263855845 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.5610 0.8490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9c457292aaeaf9fb2625e0716629becd ISABELLA NULL NULL 12263855845 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2abb44c4a2ca59174467848d6678378d JESUINA NULL NULL 12266838249 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2abb44c4a2ca59174467848d6678378d JESUINA NULL NULL 12266838249 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2abb44c4a2ca59174467848d6678378d JESUINA NULL NULL 12266838249 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 06da7e6171666c282a23b6bfaea34946 ANA NULL NULL 12311962340 09070 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00090 SERINGA DESC 20 ML UN 1.0800 1.0700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00090 SERINGA DESC 20 ML UN 1.0800 1.0700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9493 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321471846 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321471846 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321471846 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 00097 ABOCATH N 14 A 22 UN 3.7700 1.8832 1.8868 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 51584 ESPARADRAPO MICROPORE 0.7700 0.6710 0.0990 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bfe0dce5ba78a927b1ddf0f5d8bcfddc JOSE NULL NULL 12263204342 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a2cb1d00214ab61900fac49444b1672c CARMEM NULL NULL 12297674446 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5800 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2761 0.0439 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6070 0.3930 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.0150 0.6550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00097 ABOCATH N 14 A 22 UN 3.7700 3.7664 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00069 SERINGA DESC 10 ML UN 0.6700 0.6690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00069 SERINGA DESC 10 ML UN 4.3300 4.3240 0.0060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7230 0.2770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00128 LUVA DE PROCEDIMENTO UNIDADE UN 3.3300 2.4080 0.9220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00096 ABOCATH N 14 A 22 UN 3.7700 3.7664 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.6184 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00493 BROMOPRIDA 5 MG/ML 2 ML SI IM IV AP 8.2000 8.1961 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 00125 LUVA CIRURGICA UN 2.9000 0.9700 1.9300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1758 0.0042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.2354 0.3546 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 3.1800 2.4708 0.7092 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4100 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4100 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0b0d528834878a853de575d6fda99575 ANDRE NULL NULL 12276785149 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.7943 0.7957 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.4990 0.5010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a48e469abc716636c97d5b4032f77caa APARECIDA NULL NULL 12309719743 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a48e469abc716636c97d5b4032f77caa APARECIDA NULL NULL 12309719743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a48e469abc716636c97d5b4032f77caa APARECIDA NULL NULL 12309719743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a48e469abc716636c97d5b4032f77caa APARECIDA NULL NULL 12309719743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 00090 SERINGA DESC 20 ML UN 0.5400 0.5390 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0000 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0000 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.1880 0.2120 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 51584 ESPARADRAPO MICROPORE 0.5100 0.3000 0.2100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3569 0.0431 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3565 0.0435 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 9b5312a9b62e67e053cee9fae99cb3ca MARIANA NULL NULL 12327329933 19160 SERINGA DESC 20 ML UN 0.0000 0.5380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 9b5312a9b62e67e053cee9fae99cb3ca MARIANA NULL NULL 12327329933 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 eff08749d885c5abdbd269091d7c9873 WILSON NULL NULL 12297485331 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 eff08749d885c5abdbd269091d7c9873 WILSON NULL NULL 12297485331 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 01c86ea9e8701666ebfce68f2b0f03a6 ZELIA NULL NULL 12298014038 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 12262 ISOSSORBIDA 20 MG CP VO UN 0.2200 0.2158 0.0042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0600 0.0540 0.0060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7200 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.2030 0.4670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0373 0.0127 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.3540 0.1760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.4216 0.3884 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.4216 0.3884 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 000501 OXIGENIO 43.4000 31.8240 11.5760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 000501 OXIGENIO 71.4200 52.3700 19.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222597035 00098 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222597035 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 00124 LUVA CIRURGICA UN 1.4500 0.0000 1.4500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1060 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.0581 0.4219 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51660 BROMETO DE IPRATROPIO SL IN GT 3.2000 0.0000 3.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cfec8246cb6dd6b0209430096d4acc2e ZILDA NULL NULL 12216841040 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.4600 0.5400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cfec8246cb6dd6b0209430096d4acc2e ZILDA NULL NULL 12216841040 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.4600 0.5400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 0.0000 2.5500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 51241 AGULHA 123X45 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.0250 0.6450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.6406 0.6394 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 20010010 Eletrocardiograma - Ecg 16.5300 8.2600 8.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 268049a93bd6b26b4f5b79b2e6ede297 SALVINA NULL NULL 12187025148 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 268049a93bd6b26b4f5b79b2e6ede297 SALVINA NULL NULL 12187025148 03280 CLOREXIDINA 2 % ST TP ML 1.0600 0.8250 0.2350 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1130 0.1470 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5300 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5150 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5150 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51378 SERINGA DESC 03 ML UN 0.1500 0.1460 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51378 SERINGA DESC 03 ML UN 0.1500 0.1460 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51378 SERINGA DESC 03 ML UN 0.1500 0.1460 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51378 SERINGA DESC 03 ML UN 0.1500 0.1460 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.5338 0.7462 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00090 SERINGA DESC 20 ML UN 0.5400 0.4800 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51379 SERINGA DESC 05 ML UN 0.1900 0.1774 0.0126 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51379 SERINGA DESC 05 ML UN 0.1900 0.1774 0.0126 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51379 SERINGA DESC 05 ML UN 0.1900 0.1774 0.0126 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51379 SERINGA DESC 05 ML UN 0.1900 0.1774 0.0126 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 16.2228 4.0572 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.1800 0.2200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0455 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5131 0.0869 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5131 0.0869 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5131 0.0869 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5131 0.0869 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.3078 0.1022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.3078 0.1022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51584 ESPARADRAPO MICROPORE 0.2600 0.1620 0.0980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 1.5400 0.9470 0.5930 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.4786 0.9314 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.4786 0.9314 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2820 0.1180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2820 0.1180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2820 0.1180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51660 BROMETO DE IPRATROPIO SL IN GT 0.0200 0.0000 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283867638 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 002e84540426cd384f5b22f477994999 STEPHANIE NULL NULL 12277394230 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d71f6961e3a28cee1dfd231f9d4a6f96 ISABELLA NULL NULL 12312539934 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d71f6961e3a28cee1dfd231f9d4a6f96 ISABELLA NULL NULL 12312539934 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 855b5eec2465ffe6bde8bad4f7ccdc93 ANDREIA NULL NULL 12321680935 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259333639 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8945839593ea1e2b2001473532c73738 KAYKY NULL NULL 12264467437 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 51c1cd7bf95e67c465e8eac45d6e828c JAQUELLINY NULL NULL 12254454032 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 0e9c8e25b428b05373772ab51cd52476 ANTONIA NULL NULL 12316063716 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 55a6b2dc18e2c1a0a4e76d098a08373b CARLOS NULL NULL 12255426417 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 212127c045e14d61f215a552b6fb2d94 CECILIA NULL NULL 12277413415 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 6b5cb6e07a781a100d86ddb7d7a11dc7 CORACY NULL NULL 12309717014 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 2fd28f5aa76be7aa2072537d0ba85951 ELAINE NULL NULL 12255223512 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 d77e4d5c69d21862f81f5c425060c9df FELIPE NULL NULL 12281509218 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 e7eb3b11700700b49d69f0367419b775 GABRIELA NULL NULL 12311842717 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 792c9785a1e3905ad1f4f4ddb78a9694 GERALDA NULL NULL 12321278013 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 678dc839842340e927568125f89b2f2a HELIO NULL NULL 12334422419 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 69b2457f91b8c9cd6710f195975451b7 IRANI NULL NULL 12255354013 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 990acc594dd440599047bcb80adf959a IVONE NULL NULL 12259557711 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 afb55c8be5f6cc50fb22f7a5aa0cd72f JACQUELINE NULL NULL 12269033117 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 12321568318 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 054bc2146d6ff12540b070b039753cb5 JOSE NULL NULL 12329281810 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 4d0ca3091f23ed54d1f23144896c835f JOSE NULL NULL 12279836312 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 49255fae824ddb906d0aa9766b035e94 JURACINA NULL NULL 12335110917 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 b808899cae67472bc23ae83cccee3caa KESLEY NULL NULL 12309020915 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 7d82518fd6d51c8f99e952aadd8ceb8c LAFAIETE NULL NULL 12282227715 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 4218336ef8a02906ffec4f9cf24d1db1 LENIR NULL NULL 12319988010 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 043256a0a330ead08d75111c65662df0 MARIA NULL NULL 12309369313 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 f1ee09fac9ad5af1c92182510cf98571 MARIA NULL NULL 12285168215 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248313941 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222598130 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222598130 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 19160 SERINGA DESC 20 ML UN 0.0000 0.5380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283876047 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 20.2784 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 09b825abc9ef518ba223f29f2bf7c07b WALDEMAR NULL NULL 12171249749 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 10944 HALOPERIDOL 1 MG CP VO UN 0.2200 0.2160 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 31828 PREDNISONA 20 MG CP VO UN 0.7500 0.7480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 31828 PREDNISONA 20 MG CP VO UN 0.7500 0.7480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 21245 TIAMAZOL 5 MG CP VO UN 0.5000 0.4989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 21245 TIAMAZOL 5 MG CP VO UN 0.5000 0.4989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2463 0.0637 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2459 0.0641 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2459 0.0641 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2459 0.0641 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1020 0.1580 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00090 SERINGA DESC 20 ML UN 0.5400 0.2090 0.3310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00090 SERINGA DESC 20 ML UN 0.5400 0.2090 0.3310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 1.5295 1.0205 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.0107 0.5793 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.0107 0.5793 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4800 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2500 0.1500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.2600 0.2070 0.0530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.2600 0.2070 0.0530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.2600 0.2070 0.0530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4034 0.0766 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7963 0.1637 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7963 0.1637 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7963 0.1637 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 51379 SERINGA DESC 05 ML UN 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5850 0.4150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3640 0.0360 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.1360 2.2740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 73e4a44f4d56fac95aed807cb569d25b MARIO NULL NULL 12268522644 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.6683 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 60f97c801a1d271daafad302f72f1214 MARCOS NULL NULL 12329560737 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8180 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 00124 LUVA CIRURGICA UN 1.4500 0.0000 1.4500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1325 0.0475 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1323 0.0477 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 54685 POLVIDINE ALCOOLICA 0.6000 0.3000 0.3000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8480 0.1520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.4160 0.2540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.4160 0.2540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.4160 0.2540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 02252 METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL 15.2800 15.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 02252 METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL 15.2800 15.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3400 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3400 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3400 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3997 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8095 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.7700 0.0000 0.7700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2760 0.2040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2760 0.2040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.5520 0.4080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51584 ESPARADRAPO MICROPORE 0.2600 0.1920 0.0680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 3.7500 2.1800 1.5700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 3.7500 2.1800 1.5700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 3.7500 2.1800 1.5700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 7.5000 4.3600 3.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4487 0.5113 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4487 0.5113 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00124 LUVA CIRURGICA UN 1.4500 0.4825 0.9675 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 51240 FITA ADVANTAGE P/ GLICOSE UN 7.7600 7.7553 0.0047 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5320 0.4680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5320 0.4680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7600 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 54989 LUFTAL (SIMETICONA) EM VO GT 1.2000 1.1400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 34010130 Tomografia Comp. do Tórax 280.6900 140.3438 140.3462 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 34010130 Tomografia Comp. do Tórax 280.6900 140.3437 140.3463 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2590 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5990 0.4010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00097 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00098 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51584 ESPARADRAPO MICROPORE 0.2600 0.2590 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51584 ESPARADRAPO MICROPORE 0.7700 0.7670 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51584 ESPARADRAPO MICROPORE 0.7700 0.7670 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.8931 0.0369 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.8931 0.0369 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.8931 0.0369 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.8931 0.0369 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 54653 DERSANI LC TP ML 19.4000 3.9700 15.4300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.1719 0.5181 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.1719 0.5181 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5800 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5800 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00090 SERINGA DESC 20 ML UN 0.5400 0.5080 0.0320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00090 SERINGA DESC 20 ML UN 0.5400 0.5080 0.0320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00090 SERINGA DESC 20 ML UN 0.5400 0.5080 0.0320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51379 SERINGA DESC 05 ML UN 0.1900 0.0274 0.1626 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51379 SERINGA DESC 05 ML UN 0.1900 0.0274 0.1626 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51379 SERINGA DESC 05 ML UN 0.1900 0.0274 0.1626 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51379 SERINGA DESC 05 ML UN 0.1900 0.0274 0.1626 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51379 SERINGA DESC 05 ML UN 0.1900 0.0274 0.1626 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51379 SERINGA DESC 05 ML UN 0.1900 0.0274 0.1626 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6840 0.3160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00098 ABOCATH N 14 A 22 UN 3.7700 1.8830 1.8870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 1.1896 0.0904 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 16.9020 3.3780 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 16.8980 3.3820 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51584 ESPARADRAPO MICROPORE 0.2600 0.1540 0.1060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 1.1318 2.2682 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.1339 2.2761 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00069 SERINGA DESC 10 ML UN 0.3300 0.3190 0.0110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00069 SERINGA DESC 10 ML UN 0.3300 0.3190 0.0110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.4580 1.1520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.4580 1.1520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1290 0.1310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2540 0.2560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2540 0.2560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2540 0.2560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7041 1.7059 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3869 0.0131 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3869 0.0131 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3869 0.0131 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3869 0.0131 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3869 0.0131 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.4575 0.2325 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248313941 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248313941 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248313941 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248313941 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.9540 0.0460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248313941 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.5930 0.0770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.3719 0.2181 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2000 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2000 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.4000 0.1100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1830 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1830 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1830 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1830 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1830 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1830 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3476 0.0524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3476 0.0524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7040 0.1060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.7485 0.1315 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.7485 0.1315 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.7485 0.1315 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.7485 0.1315 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.5096 1.4304 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51662 Simeticona frasco c/15 ml 1.0500 1.0200 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51662 Simeticona frasco c/15 ml 1.0500 1.0200 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51662 Simeticona frasco c/15 ml 1.0500 1.0100 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51662 Simeticona frasco c/15 ml 1.0500 1.0100 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 2.4600 11.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 2.4600 11.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 2.4600 11.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 2.4600 11.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 2.4600 11.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6052 0.0848 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6052 0.0848 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6052 0.0848 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6052 0.0848 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 2.5637 0.2663 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 2.5637 0.2663 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 00069 SERINGA DESC 10 ML UN 0.3300 0.0000 0.3300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2590 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 0.0000 3.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5900 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5900 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5900 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.4996 0.5004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.4996 0.5004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51584 ESPARADRAPO MICROPORE 0.5100 0.4580 0.0520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51219 ALENIA 1.1700 0.1670 1.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51219 ALENIA 1.1700 0.1670 1.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5407 0.0593 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5407 0.0593 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5407 0.0593 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.9200 0.9104 1.0096 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.9200 0.9104 1.0096 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2040 0.1260 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6150 0.3850 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8164 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 25722 OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA 19.5800 19.5771 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 25722 OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA 19.5800 19.5771 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 000451 TAXA DE ALIMENTACAO PARA ACOMPANHANTES - 3 REFEICO 23.4000 17.5500 5.8500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 51584 ESPARADRAPO MICROPORE 0.2600 0.2570 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 999999 INSUMOS 40080200 1051.3800 525.6900 525.6900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5654 0.0346 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5654 0.0346 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 55223 Pirimetamina 25mg - Cpr 0.0700 0.0600 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00124 LUVA CIRURGICA UN 1.4500 1.3200 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00091 SERINGA DESC 01 ML (INSULINA) UN 1.2300 1.1977 0.0323 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00091 SERINGA DESC 01 ML (INSULINA) UN 1.2300 1.1977 0.0323 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51378 SERINGA DESC 03 ML UN 0.1500 0.0300 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51378 SERINGA DESC 03 ML UN 0.1500 0.0300 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51378 SERINGA DESC 03 ML UN 0.1500 0.0300 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51378 SERINGA DESC 03 ML UN 0.1500 0.0200 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2700 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1930 0.1070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1930 0.1070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3860 0.2140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3860 0.2140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51584 ESPARADRAPO MICROPORE 0.5100 0.3400 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51584 ESPARADRAPO MICROPORE 0.5100 0.3400 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3330 0.0670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3230 0.0770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 30813 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.3252 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 30813 DEXCLORFENIRAMINA 2 MG CP VO UN 0.6500 0.6456 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 34860 SULFAMETOXAZOL 400 MG + TRIMETOPRIM 0.3500 0.3480 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 31640 SERTRALINA 50 MG CP VO UN 0.0000 1.3760 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 21261 TEICOPLANINA 400 MG + DIL. 3 ML PO 362.7200 362.7166 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 14460 DOMPERIDONA 10 MG CP VO UN 0.3900 0.3900 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00881 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.2652 0.0648 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00881 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.2652 0.0648 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00881 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.2652 0.0648 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00881 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.2652 0.0648 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00881 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.2652 0.0648 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00881 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.2652 0.0648 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00838 HIDRALAZINA 50 MG DG VO UN 0.3200 0.2700 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00838 HIDRALAZINA 50 MG DG VO UN 0.3200 0.2600 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00838 HIDRALAZINA 50 MG DG VO UN 0.3200 0.2600 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00838 HIDRALAZINA 50 MG DG VO UN 0.3200 0.2600 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12342209312 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51241 AGULHA 123X45 1.2200 0.0000 1.2200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5484 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.5120 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 51584 ESPARADRAPO MICROPORE 0.2600 0.2520 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 01101 SONDA FOLEY 2 VIAS N 14 UN 3.8200 3.8122 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00124 LUVA CIRURGICA UN 1.4500 1.4500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 41.9800 41.9800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.3981 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.6000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5922 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5476 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 00097 ABOCATH N 14 A 22 UN 7.5300 7.5300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 60038 BISOPROLOL 5 MG CP VO UN 2.0100 2.0100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 60038 BISOPROLOL 5 MG CP VO UN 2.0200 2.0156 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 00919 ALGODAO HIDROFILO BOLINHA UN 0.2900 0.2816 0.0084 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5484 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6826 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.6000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 51590 ABAIXADOR DE LINGUA UN 0.0300 0.0292 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5484 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 00919 ALGODAO HIDROFILO BOLINHA UN 0.5600 0.5600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 00919 ALGODAO HIDROFILO BOLINHA UN 0.3100 0.3100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283876047 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.6650 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283876047 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283876047 00069 SERINGA DESC 10 ML UN 0.6700 0.6693 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 52216 GLICOSE 50% 20 ML SI IV AP 1.0700 1.0700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7840 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 01603 GLICOSE 50% 10 ML SI IV AP 2.1900 2.1900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.6500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 06da7e6171666c282a23b6bfaea34946 ANA NULL NULL 12311962340 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 06da7e6171666c282a23b6bfaea34946 ANA NULL NULL 12311962340 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1740 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 06da7e6171666c282a23b6bfaea34946 ANA NULL NULL 12311962340 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2816 -0.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0b0d528834878a853de575d6fda99575 ANDRE NULL NULL 12276785149 51241 AGULHA 123X45 1.1500 0.0000 1.1500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2560 0.0140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 29700 HENETIX (IOBITRIDOL) 300 MG/ML SI 0.0000 269.6250 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 32719 CEFAZOLINA 1 GR + DIL. 10 ML FA 0.0000 8.1275 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1873 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8200 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5836 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 14.4000 14.3970 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.6000 0.5987 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.6000 0.5987 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 29661 NOREPINEFRINA 2 MG/ML 4 ML SI IV A 37.9900 37.9856 0.0044 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.4043 -0.0043 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.4043 -0.0043 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.4043 -0.0043 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.4043 -0.0043 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.4043 -0.0043 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 17310 IODOPOVIDONA ALCOOLICA SL TP ML 0.6000 0.6000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 17310 IODOPOVIDONA ALCOOLICA SL TP ML 0.6000 0.6000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 37761 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0600 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 56723 DIETA DIABETES (C/CARBOIDRATO DE AB 83.2000 83.2000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 22748 LIDOCAINA 2% GE TP OU GR 2.3500 2.4464 -0.0964 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 13757 IODOPOVIDONA SD TP ML 0.4000 0.4000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33219 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6650 0.0050 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33219 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6650 0.0050 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 29580 FRASCO P/NUTRIÇAO ENTERAL 300 LACRE 2.4700 2.4723 -0.0023 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 52353 ABAIXADOR DE LINGUA UN 0.0500 0.0512 -0.0012 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 a48e469abc716636c97d5b4032f77caa APARECIDA NULL NULL 12309719743 00097 ABOCATH N 14 A 22 UN 3.7700 3.7700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a48e469abc716636c97d5b4032f77caa APARECIDA NULL NULL 12309719743 00097 ABOCATH N 14 A 22 UN 3.7700 3.7624 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a48e469abc716636c97d5b4032f77caa APARECIDA NULL NULL 12309719743 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 23.3600 23.3600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 59331 DEXMEDETOMIDINA 100 MCG/ML 2 ML SI 0.0000 200.3000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.9000 0.9000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.6000 0.6000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.6000 0.6000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.3000 0.3000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.3000 0.3000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.3000 0.3000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.3000 0.3000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.3000 0.3000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33219 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.6000 0.5987 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.6000 0.5987 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.6000 0.5987 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.6000 0.5987 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.4076 -0.0076 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00469 AGUA BIDESTILADA 250 ML SI IM IV 5.7900 5.7880 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 17310 IODOPOVIDONA ALCOOLICA SL TP ML 1.8000 1.8000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 37761 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0600 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 37761 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0600 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 28959 DERSANI LC TP ML 9.7000 10.6700 -0.9700 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 28959 DERSANI LC TP ML 9.7000 10.6700 -0.9700 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 28959 DERSANI LC TP ML 10.6700 10.6700 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 28959 DERSANI LC TP ML 29.1000 29.1000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 55018 ALGINATO DE CALCIO EM HIDROGEL GL 20.7000 21.3900 -0.6900 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 29580 FRASCO P/NUTRIÇAO ENTERAL 300 LACRE 2.4700 2.4723 -0.0023 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 50598 ATROPINA 0,25 MG SI IV AP 0.4800 0.4842 -0.0042 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 50598 ATROPINA 0,25 MG SI IV AP 0.4800 0.4842 -0.0042 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 41858 CLOPIDOGREL 75 MG CP VO UN 1.7900 1.7900 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 41858 CLOPIDOGREL 75 MG CP VO UN 1.7900 1.7900 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4055 0.0045 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4055 0.0045 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4055 0.0045 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4055 0.0045 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4055 0.0045 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19135 SERINGA DESC 03 ML UN 0.1500 0.1500 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 30015 ACIDO ACETILSALICILICO 100 MG CP V 0.1400 0.1400 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19143 SERINGA DESC 05 ML UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19143 SERINGA DESC 05 ML UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19143 SERINGA DESC 05 ML UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 29661 NOREPINEFRINA 2 MG/ML 4 ML SI IV A 37.9900 37.9856 0.0044 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 21261 TEICOPLANINA 400 MG + DIL. 3 ML PO 362.7200 362.7183 0.0017 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1813 -0.0013 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1813 -0.0013 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1813 -0.0013 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1813 -0.0013 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1813 -0.0013 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1813 -0.0013 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 1.6200 1.6156 0.0044 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11363 ESCOPOLAMINA 20 MG/ML 1 ML SI IM I 1.0200 1.0239 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11363 ESCOPOLAMINA 20 MG/ML 1 ML SI IM I 1.0200 1.0239 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11363 ESCOPOLAMINA 20 MG/ML 1 ML SI IM I 1.0200 1.0239 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11363 ESCOPOLAMINA 20 MG/ML 1 ML SI IM I 1.0200 1.0239 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11363 ESCOPOLAMINA 20 MG/ML 1 ML SI IM I 3.0700 3.0717 -0.0017 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 20559 SORO FISIOLOGICO 0,9% 250 ML SI IV 3.9400 3.9447 -0.0047 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 20559 SORO FISIOLOGICO 0,9% 250 ML SI IV 3.9400 3.9447 -0.0047 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 20559 SORO FISIOLOGICO 0,9% 250 ML SI IV 3.9400 3.9447 -0.0047 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 20559 SORO FISIOLOGICO 0,9% 250 ML SI IV 3.9400 3.9447 -0.0047 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33219 LUVA DE PROCEDIMENTO UNIDADE UN 1.6900 1.6650 0.0250 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 14087 METRONIDAZOL 500 MG 100 ML SI IV B 7.0800 7.0809 -0.0009 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 14087 METRONIDAZOL 500 MG 100 ML SI IV B 7.0800 7.0809 -0.0009 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 14087 METRONIDAZOL 500 MG 100 ML SI IV B 7.0800 7.0809 -0.0009 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 09636 FLORATIL (SACCHAROMYCES BOULARDII) 4.4400 4.4429 -0.0029 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 09636 FLORATIL (SACCHAROMYCES BOULARDII) 4.4400 4.4429 -0.0029 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 09636 FLORATIL (SACCHAROMYCES BOULARDII) 4.4400 4.4429 -0.0029 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 09636 FLORATIL (SACCHAROMYCES BOULARDII) 4.4400 4.4429 -0.0029 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 09636 FLORATIL (SACCHAROMYCES BOULARDII) 4.4400 4.4429 -0.0029 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 31585 RANITIDINA 25 MG/ML 2 ML SI IV IM 0.9300 0.9337 -0.0037 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 31585 RANITIDINA 25 MG/ML 2 ML SI IV IM 0.9300 0.9337 -0.0037 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.4800 0.4808 -0.0008 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.4800 0.4808 -0.0008 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.4800 0.4808 -0.0008 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.4800 0.4808 -0.0008 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.4800 0.4808 -0.0008 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 2.8800 2.8848 -0.0048 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27316 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.7037 -0.0037 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11193 CLOREXIDINA 2 % ST TP ML 0.5300 0.5320 -0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 55018 ALGINATO DE CALCIO EM HIDROGEL GL 6.9000 6.9000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 34487 MEROPENEM 1G PO IV FA 154.3800 154.3807 -0.0007 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 34487 MEROPENEM 1G PO IV FA 154.3800 154.3807 -0.0007 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12190351843 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 28959 DERSANI LC TP ML 0.0000 87.3000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.6000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00943 EQUIPO POLIFIX 2 VIAS UN 5.1000 5.1000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1842 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00098 ABOCATH N 14 A 22 UN 7.5300 7.5300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00097 ABOCATH N 14 A 22 UN 3.7700 3.7700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51584 ESPARADRAPO MICROPORE 0.2800 0.2800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.8900 0.8900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321471846 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a2cb1d00214ab61900fac49444b1672c CARMEM NULL NULL 12297674446 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 25722 OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA 19.5800 19.5800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12234060246 31569 PROPRANOLOL 40 MG CP VO UN 0.1600 0.1520 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 00090 SERINGA DESC 20 ML UN 1.0800 1.0800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 1.1700 0.2130 0.9570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 1.1700 0.2130 0.9570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 1.1700 0.2130 0.9570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5476 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 01313 MIDAZOLAM 1 MG/ML 5 ML SI IV AP 6.4500 6.4500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9398 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00174 Soro Ringer C/ Lactato Bolsa C/ 500ml 26.3900 26.3900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00186 BICARBONATO DE SODIO 8,4% 10 ML SI IV AP 0.8000 0.7912 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 29762 CISATRACURIO 20 MG 10 ML SI IV AP 60.2700 60.2640 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 03280 CLOREXIDINA 2 % ST TP ML 0.2900 0.1533 0.1367 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.2100 0.2140 -0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 20.9900 20.9855 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.9940 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1740 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9968 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2fd28f5aa76be7aa2072537d0ba85951 ELAINE NULL NULL 12255258142 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2520 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 21261 TEICOPLANINA 400 MG + DIL. 3 ML PO 362.7200 362.7183 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51616 ANLODIPINO 10 MG CP VO UN 0.7100 0.7100 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00111 ABOCATH N 14 A 22 UN 3.7700 3.7620 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9c457292aaeaf9fb2625e0716629becd ISABELLA NULL NULL 12263855845 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9364 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7640 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 27618 ONDANSETRONA 2 MG/ML 2 ML SI IM IV 0.0000 0.0000 NULL MAT/MED NAO AUTORIZADO PREVIAMENTE 0305
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2704 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2520 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5868 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3048 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51584 ESPARADRAPO MICROPORE 0.2800 0.2700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51584 ESPARADRAPO MICROPORE 0.2800 0.2700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51584 ESPARADRAPO MICROPORE 0.5300 0.5154 0.0146 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00919 ALGODAO HIDROFILO BOLINHA UN 0.2800 0.2816 -0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51230 AGULHA DESC 30 X 7 - 40X12 UN 3.1290 1.7700 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 23.8600 23.8600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 1.8700 1.8700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5804 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 51584 ESPARADRAPO MICROPORE 0.2600 0.2600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 03280 CLOREXIDINA 2 % ST TP ML 5.3924 2.5075 2.8725 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2abb44c4a2ca59174467848d6678378d JESUINA NULL NULL 12266838249 00097 ABOCATH N 14 A 22 UN 3.7700 3.7624 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2abb44c4a2ca59174467848d6678378d JESUINA NULL NULL 12266838249 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.4000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bfe0dce5ba78a927b1ddf0f5d8bcfddc JOSE NULL NULL 12263204342 00069 SERINGA DESC 10 ML UN 0.6700 0.6700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bfe0dce5ba78a927b1ddf0f5d8bcfddc JOSE NULL NULL 12263204342 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.2600 0.2550 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.1700 0.8470 0.3230 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 26999 GANCICLOVIR 500 MG + DIL. PO IV F 151.0400 151.0374 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 11940 INSULINA NPH/REGULAR SI SC UI 1.8000 1.8000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 0f992b408cbd27a95de887ea229c0b26 JORGINA NULL NULL 12321704643 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5961 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3400 0.0939 0.2461 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3400 0.0939 0.2461 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3400 0.0939 0.2461 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3400 0.0939 0.2461 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3400 0.0939 0.2461 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3400 0.0939 0.2461 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3400 0.0939 0.2461 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248313941 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 013b155943183fa582252ca154e5569f JUVELINA NULL NULL 12165747648 00125 LUVA CIRURGICA UN 1.4500 1.4500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 20.9900 20.9900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 31291 METRONIZADOL 250 MG CP VO UN 0.2200 0.2200 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 31291 METRONIZADOL 250 MG CP VO UN 0.2200 0.2200 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 31291 METRONIZADOL 250 MG CP VO UN 0.4400 0.4350 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 31291 METRONIZADOL 250 MG CP VO UN 0.4400 0.4350 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51379 SERINGA DESC 05 ML UN 3.4191 1.3118 1.0982 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 2.0953 0.9921 0.5079 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 14460 DOMPERIDONA 10 MG CP VO UN 0.7800 0.7800 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 14460 DOMPERIDONA 10 MG CP VO UN 1.1700 1.1700 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0100 0.7884 0.2216 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6800 1.1263 0.5537 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6800 1.1263 0.5537 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 20.9900 20.9820 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00919 ALGODAO HIDROFILO BOLINHA UN 0.5600 0.3354 0.2246 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.9960 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 1.3700 1.3700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5868 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3904 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00031 AGULHA DESC 13 X 45 UN 0.4500 0.3882 0.0618 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 54294 ZOLPIDEM 10 MG CP 1.2800 1.2800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 00124 LUVA CIRURGICA UN 1.4500 1.4500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 51457 LIDOCAINA 2% S/ VASO SI PE SC ML 2.5900 2.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 57355 ESCITALOPRAM 10 MG CP VO UN 1.5900 1.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2752 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.6000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5972 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d4dbfd05ca467c79165606fc7735e38f MARIA NULL NULL 12312451147 00090 SERINGA DESC 20 ML UN 0.5400 0.5320 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00943 EQUIPO POLIFIX 2 VIAS UN 5.1000 5.0928 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00170 SORO GLICOSADO 5% 250 ML SI IV BS 6.7900 6.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51584 ESPARADRAPO MICROPORE 0.2700 0.2560 0.0140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00031 AGULHA DESC 13 X 45 UN 4.4419 2.4984 0.0216 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1750 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 1.7092 0.9274 0.1326 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9dbb8f82efe7a16aa84c856804bd479e SEBASTIAO NULL NULL 12228729249 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6cc91d0bae7ee80faf1515c3c1bc4604 OLGA NULL NULL 12241643640 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1239 0.1461 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.2477 0.2723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f46c55d85311b267c39a3c36a11c1704 WILSON NULL NULL 12288777248 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 18716 RISPERIDONA 1 MG CP VO UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 18716 RISPERIDONA 1 MG CP VO UN 1.0000 0.9940 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 57266 FUMARATO DE QUETIAPINA 100 MG CP 8.6100 8.6076 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 09b825abc9ef518ba223f29f2bf7c07b WALDEMAR NULL NULL 12171249749 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.5100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 09b825abc9ef518ba223f29f2bf7c07b WALDEMAR NULL NULL 12171249749 00091 SERINGA DESC 01 ML (INSULINA) UN 1.2300 1.2300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51195 Prednisolona 20mg Cp. 0.7500 0.7460 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7840 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00919 ALGODAO HIDROFILO BOLINHA UN 0.3456 0.3072 0.0128 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51230 AGULHA DESC 30 X 7 - 40X12 UN 4.9940 2.8320 0.0380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5868 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00091 SERINGA DESC 01 ML (INSULINA) UN 0.9200 0.9200 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2816 -0.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2816 -0.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51475 FUMARATO DE QUETIAPINA 25 MG CA VO UN 1.2500 1.2500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 34614 ATORVASTATINA CALCICA 10 MG CP VO 1.4900 1.4900 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 34614 ATORVASTATINA CALCICA 10 MG CP VO 1.4900 1.4900 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 34614 ATORVASTATINA CALCICA 10 MG CP VO 1.4900 1.4900 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4052 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.4000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 04242 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 14.4000 14.3910 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.6900 0.6607 0.0293 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 14370 FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ 0.0000 6.6869 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1992 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7820 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.2300 0.2056 0.0244 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 2.9000 2.8950 0.0050 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 17310 IODOPOVIDONA ALCOOLICA SL TP ML 0.9000 0.9000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 00540 AGULHA DESC 13 X 45 UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 08648 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.4000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2816 -0.0216 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.0000 2.4000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 29580 FRASCO P/NUTRIÇAO ENTERAL 300 LACRE 0.0000 2.4723 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 25040014 ASSISTENCIA FISIATRICA RESPIRATORIA 24.5600 0.0000 24.5600 NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 02734 TARGOCID (TEICOPLANINA) 400 MG 3 ML PO IM IV FA NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51439 MEROPENEM 1G PO IV FA NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00796 FLORATIL (SACCHAROMYCES BOULARDII) 200 MG PO VO NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 03280 CLOREXIDINA 2 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 03280 CLOREXIDINA 2 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00211 ESCOPOLAMINA 20 MG/ML 1 ML SI IM IV SC AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00564 ATROPINA 0,25 MG SI IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0360 0.0640 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0360 0.0640 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0260 0.0740 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0260 0.0740 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0260 0.0740 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51378 SERINGA DESC 03 ML UN 0.1500 0.0390 0.1110 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51378 SERINGA DESC 03 ML UN 0.1500 0.0390 0.1110 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0470 0.1330 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0470 0.1330 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0000 2.5800 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 39030156 Cateterismo de Veia Central por Punção 0.0000 0.0000 NULL COBRANCA DE HONORARIOS EM DUPLICIDADE 2607
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 04242 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 0.0000 3.2509 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.0000 0.9609 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.3567 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.3567 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.3567 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.3567 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.3567 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.7224 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.7224 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.7224 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.7224 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51240 FITA ADVANTAGE P/ GLICOSE UN 0.0000 2.5870 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51240 FITA ADVANTAGE P/ GLICOSE UN 0.0000 2.5870 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51240 FITA ADVANTAGE P/ GLICOSE UN 0.0000 2.5870 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51240 FITA ADVANTAGE P/ GLICOSE UN 0.0000 2.5870 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51419 FILTRO DE BARREIRA 0.0000 8.0000 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51508 ENCRISE (ARGIPRESSINA) 20 U/ML 1 ML SI IM IV SC AP 0.0000 40.2400 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1055123 61fd80435c4278b11d9c8303654f21e8 JOAQUIM NULL NULL 12206898835 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 28959 DERSANI LC TP ML 29.1000 29.1000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 28959 DERSANI LC TP ML 29.1000 29.1000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 28959 DERSANI LC TP ML 9.7000 10.6700 -0.9700 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00469 AGUA BIDESTILADA 250 ML SI IM IV 5.7900 5.7880 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.6000 0.5987 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.6000 0.5987 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.6000 0.5987 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 23914 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALV 3.7300 3.7278 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 23914 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALV 3.7300 3.7278 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 1.5400 1.5360 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33219 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.3000 0.3000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.6000 0.6000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 1.2000 1.2000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 1.2000 1.2000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 1.8000 1.8000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 000501 OXIGENIO 0.0000 792.8064 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 52302 CLOREXIDINA SL TP BU ML 0.0000 0.2000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 52353 ABAIXADOR DE LINGUA UN 0.0500 0.0512 -0.0012 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 52353 ABAIXADOR DE LINGUA UN 0.0500 0.0512 -0.0012 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 29580 FRASCO P/NUTRIÇAO ENTERAL 300 LACRE 2.4700 2.4723 -0.0023 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33219 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6650 0.0050 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33219 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6650 0.0050 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33219 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6650 0.0050 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33219 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6650 0.0050 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 28959 DERSANI LC TP ML 19.4000 19.4000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 22748 LIDOCAINA 2% GE TP OU GR 2.3500 2.4464 -0.0964 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27316 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.7037 -0.0037 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27316 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.7037 -0.0037 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00590 AGULHA DESC 30 X 7 - 40X12 UN 13.6714 0.9036 12.4064 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 56723 DIETA DIABETES (C/CARBOIDRATO DE AB 140.4000 140.4000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 17310 IODOPOVIDONA ALCOOLICA SL TP ML 0.6000 0.6000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 29661 NOREPINEFRINA 2 MG/ML 4 ML SI IV A 37.9900 37.9856 0.0044 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.6000 0.5987 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 29840 ETOMIDATO 2 MG/ML 10 ML SI IV AP 16.1800 16.1742 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 50598 ATROPINA 0,25 MG SI IV AP 0.0000 3.3894 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 51584 ESPARADRAPO MICROPORE 1.2800 1.2800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.9983 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.9983 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 20.2784 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 0.0000 2.8794 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.5120 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dee5a0d03c4673fe8898c0a0fff00916 ANA NULL NULL 12276505648 00098 ABOCATH N 14 A 22 UN 7.5300 7.5300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0b0d528834878a853de575d6fda99575 ANDRE NULL NULL 12276785149 15946 PANTOPRAZOL 40 MG CP VO UN 0.0000 1.7300 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 0b0d528834878a853de575d6fda99575 ANDRE NULL NULL 12276785149 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.6700 0.6686 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0b0d528834878a853de575d6fda99575 ANDRE NULL NULL 12276785149 00125 LUVA CIRURGICA UN 1.4500 1.4425 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0b0d528834878a853de575d6fda99575 ANDRE NULL NULL 12276785149 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5856 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 06da7e6171666c282a23b6bfaea34946 ANA NULL NULL 12311962340 00919 ALGODAO HIDROFILO BOLINHA UN 0.2800 0.2816 -0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 06da7e6171666c282a23b6bfaea34946 ANA NULL NULL 12311962340 09340 LEVOFLOXACINO 5 MG/ML 100 ML SI IV BS 105.6800 105.6716 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 06da7e6171666c282a23b6bfaea34946 ANA NULL NULL 12311962340 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 201002 TAXA DE SALA PORTE 1 0.0000 0.0000 NULL GLOSA EM SERVICOS HOSPITALARES 0300
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.2500 0.2400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 73e4a44f4d56fac95aed807cb569d25b MARIO NULL NULL 12268522644 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.5000 0.4962 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 34584 CAPTOPRIL 50 MG CP VO UN 0.1600 0.1600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 00097 ABOCATH N 14 A 22 UN 3.7700 3.7624 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2560 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.5100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320508342 31569 PROPRANOLOL 40 MG CP VO UN 0.1600 0.1520 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320508342 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5804 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 00919 ALGODAO HIDROFILO BOLINHA UN 0.3100 0.3100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.6000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.6000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 00919 ALGODAO HIDROFILO BOLINHA UN 0.2900 0.2816 0.0084 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 60038 BISOPROLOL 5 MG CP VO UN 2.0100 2.0100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7840 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4034 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 1.2800 1.2800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 00090 SERINGA DESC 20 ML UN 1.6100 1.6100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.5120 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.5100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6826 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 01101 SONDA FOLEY 2 VIAS N 14 UN 3.8200 3.8200 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51241 AGULHA 123X45 1.2400 0.0000 1.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51649 ALCOOL ETILICO 70 % ST TP ML 0.0200 0.0200 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 93ab10613d6a84b2e98ec68d66f5f061 LEOVEGILDO NULL NULL 12184124349 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5852 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00838 HIDRALAZINA 50 MG DG VO UN 0.3200 0.2600 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00838 HIDRALAZINA 50 MG DG VO UN 0.3200 0.2600 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00838 HIDRALAZINA 50 MG DG VO UN 0.3200 0.2600 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00838 HIDRALAZINA 50 MG DG VO UN 0.3200 0.2700 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00881 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.2652 0.0648 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00881 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.2652 0.0648 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00881 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.2652 0.0648 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 05274 AMOXICILINA 500 MG + CLAVULANATO 12 3.1700 3.1660 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 05274 AMOXICILINA 500 MG + CLAVULANATO 12 0.0000 3.1660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321471846 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.7980 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12254155740 57266 FUMARATO DE QUETIAPINA 100 MG CP 0.0000 8.6076 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 09091 PROMETAZINA 25 MG/ML 2 ML SI IM IV 0.0000 2.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 14460 DOMPERIDONA 10 MG CP VO UN 0.3900 0.3900 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 14370 FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ 0.0000 6.6869 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 13706 BUPIVACAINA 0,5% C / VASOCONSTRITOR 0.0000 22.0160 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 07293 DIPIRONA GOTAS 500 MG/ML SO VO GT 0.5300 0.5250 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 14370 FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ 0.0000 6.6869 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 34860 SULFAMETOXAZOL 400 MG + TRIMETOPRIM 0.3500 0.3480 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 34860 SULFAMETOXAZOL 400 MG + TRIMETOPRIM 0.3500 0.3480 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 30813 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.3252 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 30813 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.3252 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 30813 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.3252 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3230 0.0770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3330 0.0670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51164 AGUA BIDESTILADA 500 ML 6.4300 6.4260 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 2.7200 0.0000 2.7200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51584 ESPARADRAPO MICROPORE 0.5100 0.3400 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51584 ESPARADRAPO MICROPORE 0.5100 0.3400 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51584 ESPARADRAPO MICROPORE 0.2600 0.1770 0.0830 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3860 0.2140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1930 0.1070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2700 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51378 SERINGA DESC 03 ML UN 0.3000 0.0500 0.2500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51378 SERINGA DESC 03 ML UN 0.1500 0.0300 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1750 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00091 SERINGA DESC 01 ML (INSULINA) UN 1.2300 1.1977 0.0323 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00091 SERINGA DESC 01 ML (INSULINA) UN 0.6100 0.5940 0.0160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00124 LUVA CIRURGICA UN 1.4500 1.3100 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 2.4900 2.4899 0.0001 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.2399 0.0001 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.2399 0.0001 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00124 LUVA CIRURGICA UN 1.4500 0.7237 0.7263 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 51584 ESPARADRAPO MICROPORE 0.2600 0.2570 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6660 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.9970 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.6680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 52216 GLICOSE 50% 20 ML SI IV AP 2.1400 2.1355 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51649 ALCOOL ETILICO 70 % ST TP ML 0.0900 0.0700 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.0815 0.1185 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.0815 0.1185 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5407 0.0593 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5407 0.0593 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5421 0.0579 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51219 ALENIA 1.1700 0.1670 1.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51584 ESPARADRAPO MICROPORE 0.5100 0.4580 0.0520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51584 ESPARADRAPO MICROPORE 0.5100 0.4580 0.0520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51584 ESPARADRAPO MICROPORE 0.5100 0.4580 0.0520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.4996 0.5004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 00069 SERINGA DESC 10 ML UN 0.3300 0.0000 0.3300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 00069 SERINGA DESC 10 ML UN 0.3300 0.0000 0.3300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 2.5637 0.2663 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 54685 POLVIDINE ALCOOLICA 0.9000 0.7000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 54685 POLVIDINE ALCOOLICA 0.6000 0.4700 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01491 FENITOINA 100 MG CP VO UN 0.1900 0.1800 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 2.4600 11.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 2.4600 11.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 2.4600 11.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 2.4600 11.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 2.4600 11.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 2.4600 11.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51662 Simeticona frasco c/15 ml 2.1000 2.0300 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51662 Simeticona frasco c/15 ml 1.0500 1.0100 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51662 Simeticona frasco c/15 ml 1.0500 1.0200 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.5096 1.4304 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.7485 0.1315 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3476 0.0524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3476 0.0524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1830 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1830 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2100 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.5354 1.0746 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.5359 1.0741 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.6700 0.6016 0.0684 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.6700 0.6016 0.0684 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.3719 0.2181 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.3719 0.2181 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248313941 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.5930 0.0770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248313941 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3869 0.0131 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3869 0.0131 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3869 0.0131 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5065 0.0935 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5065 0.0935 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5076 0.0924 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2760 0.0240 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1290 0.1310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.4580 1.1520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.4630 1.1470 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00069 SERINGA DESC 10 ML UN 0.6700 0.6476 0.0224 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00069 SERINGA DESC 10 ML UN 0.3300 0.3190 0.0110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00069 SERINGA DESC 10 ML UN 0.3300 0.3190 0.0110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5993 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51584 ESPARADRAPO MICROPORE 0.2600 0.1590 0.1010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 16.8980 3.3820 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.6807 0.9093 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.6807 0.9093 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 1.1896 0.0904 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.1430 0.5270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2340 0.0960 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51379 SERINGA DESC 05 ML UN 0.1900 0.0274 0.1626 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51379 SERINGA DESC 05 ML UN 0.1900 0.0274 0.1626 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00090 SERINGA DESC 20 ML UN 0.5400 0.5080 0.0320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00090 SERINGA DESC 20 ML UN 0.5400 0.5080 0.0320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 54653 DERSANI LC TP ML 19.4000 3.9600 15.4400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.8931 0.0369 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.8931 0.0369 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.8931 0.0369 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.8932 0.0368 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51584 ESPARADRAPO MICROPORE 0.7700 0.7670 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00098 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.2707 0.3193 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8b09750a6d2390cf2ffd5dd76799599a IVON NULL NULL 12292121344 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7140 0.2860 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7600 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.8880 0.7820 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5320 0.4680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00124 LUVA CIRURGICA UN 1.4500 0.4825 0.9675 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4487 0.5113 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4487 0.5113 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 7.5000 4.3600 3.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 3.7500 2.1800 1.5700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.9200 1.1040 0.8160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.4400 0.8280 0.6120 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2760 0.2040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2760 0.2040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2760 0.2040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2760 0.2040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 1.0200 0.0000 1.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 1.0200 0.0000 1.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8095 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8095 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8095 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3997 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3997 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3997 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3997 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3400 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3400 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3400 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 02252 METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL 30.5600 30.5566 0.0034 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 02252 METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL 15.2800 15.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.7700 0.0000 0.7700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.4160 0.2540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8480 0.1520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8480 0.1520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8480 0.1520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.9821 0.4279 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1266 0.0034 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.5110 0.2590 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 00097 ABOCATH N 14 A 22 UN 3.7700 0.0000 3.7700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3000 0.1000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7490 0.2510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1920 0.0680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 00124 LUVA CIRURGICA UN 1.4500 0.0000 1.4500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 60f97c801a1d271daafad302f72f1214 MARCOS NULL NULL 12329560737 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1886 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.1360 2.2740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 51379 SERINGA DESC 05 ML UN 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 51379 SERINGA DESC 05 ML UN 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7963 0.1637 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7963 0.1637 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.0100 0.7200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.0100 0.7200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.0200 0.7100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.2600 0.2070 0.0530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.2600 0.2170 0.0430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.2840 0.7160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4800 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.0107 0.5793 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00090 SERINGA DESC 20 ML UN 0.5400 0.2090 0.3310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1020 0.1580 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1020 0.1580 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2459 0.0641 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2459 0.0641 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2459 0.0641 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320508342 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 09733 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 10944 HALOPERIDOL 1 MG CP VO UN 0.2200 0.2160 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 20.2784 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9dbb8f82efe7a16aa84c856804bd479e SEBASTIAO NULL NULL 12228729249 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.2560 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 51314 ZOLPIDEM 10 MG CP VO UN 0.0000 1.2796 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283876047 24457 FIO MONONYLON 4-0 C/ AGULHA 2,0 3/ 0.0000 6.6869 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 73e4a44f4d56fac95aed807cb569d25b MARIO NULL NULL 12268522644 07510 MIDAZOLAM 1 MG/ML 5 ML SI IV AP 0.0000 6.4490 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 73e4a44f4d56fac95aed807cb569d25b MARIO NULL NULL 12268522644 01740 ATADURA CREPOM 15 CM UN 0.0000 1.1657 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 f685e09d052377a3e37cdc0156d85f6f LIA NULL NULL 12325737230 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.0000 0.8078 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 f685e09d052377a3e37cdc0156d85f6f LIA NULL NULL 12325737230 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 f685e09d052377a3e37cdc0156d85f6f LIA NULL NULL 12325737230 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 f685e09d052377a3e37cdc0156d85f6f LIA NULL NULL 12325737230 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 f685e09d052377a3e37cdc0156d85f6f LIA NULL NULL 12325737230 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 55344 REMIFENTANIL 2 MG PO IV ML 0.0000 2.3995 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 20.2784 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 19763 SONDA FOLEY 2 VIAS Nş 16 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 20362 SONDA URETRAL N 10 UN 0.0000 0.4265 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 20931 SULFATO DE MAGNESIO 100 MG/ML 10 ML 0.0000 1.8956 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 20.2784 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 165eb5b1752fe1041870e66d8f5d454d MARIA NULL NULL 12333042513 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 60f97c801a1d271daafad302f72f1214 MARCOS NULL NULL 12329556117 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 ba6d8aa22f0ac6fa73fc97f10a280c17 MANOEL NULL NULL 12255397511 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 a2635090ebf8543f89dd8454888f39dc LUZIA NULL NULL 12309018514 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12311949811 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 f685e09d052377a3e37cdc0156d85f6f LIA NULL NULL 12325713014 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 2fb5ec47cedb46e5e8523ea81ea960fd JURACY NULL NULL 12343127418 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 deecb16e08970c5972d4b1e3731ebda2 JOSE NULL NULL 12296998510 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 05b1f0e1319ebc19385e39a443384241 JACOB NULL NULL 12273778211 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 b726b0fdc5ba514aae734c8e0b2eb14c IEDA NULL NULL 12264890811 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 6fe938dabee8ade9a1ecd7e293003666 HUGMAR NULL NULL 12279652413 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 8b02ac8869179ca9a8f1dc4b9a715e70 GOIACI NULL NULL 12332650219 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 96aca2102ab122b1b57bb31e4e5bd131 GERALDINA NULL NULL 12341017014 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 d88bef26a13d2ded818a03f873db5fee ELENISSE NULL NULL 12324173712 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 81bb3dcdd80f7bf3d0032d7bdf26cfec DANIELLE NULL NULL 12336901611 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12330159414 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 212127c045e14d61f215a552b6fb2d94 CECILIA NULL NULL 12255418219 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 cc4c5c9ac52be7906f0b6ce08416d241 BRUNA NULL NULL 12267196614 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 8c6a67a46a9b7171eab5ccc5499b0d9d ANELITA NULL NULL 12255089916 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 0b0d528834878a853de575d6fda99575 ANDRE NULL NULL 12276781515 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 cf9929898a391aac7e5c22060bfee23e ADRIANA NULL NULL 12253136113 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8945839593ea1e2b2001473532c73738 KAYKY NULL NULL 12264467437 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 a1fdd21cd8fbd02e31350f0a5890f317 MARIA NULL NULL 12265559337 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.2100 0.2070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12261773339 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 51c1cd7bf95e67c465e8eac45d6e828c JAQUELLINY NULL NULL 12254454032 19160 SERINGA DESC 20 ML UN 0.0000 0.5380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 855b5eec2465ffe6bde8bad4f7ccdc93 ANDREIA NULL NULL 12321680935 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d71f6961e3a28cee1dfd231f9d4a6f96 ISABELLA NULL NULL 12312539934 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 678dc839842340e927568125f89b2f2a HELIO NULL NULL 12336444836 19151 SERINGA DESC 10 ML UN 0.0000 0.6662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283867638 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283867638 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6cc91d0bae7ee80faf1515c3c1bc4604 OLGA NULL NULL 12241643640 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2824 0.1176 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.4786 0.9314 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.4786 0.9314 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.4796 0.9304 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51584 ESPARADRAPO MICROPORE 0.5100 0.3130 0.1970 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51589 ESPARADRAPO 10 X 4.5 CM CM 1.2000 0.3900 0.8100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.3078 0.1022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.3078 0.1022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.3078 0.1022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.3078 0.1022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.3078 0.1022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.3078 0.1022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.3078 0.1022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5131 0.0869 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5131 0.0869 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0455 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.3900 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51379 SERINGA DESC 05 ML UN 0.1900 0.1774 0.0126 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51379 SERINGA DESC 05 ML UN 0.1900 0.1774 0.0126 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51379 SERINGA DESC 05 ML UN 0.1900 0.1774 0.0126 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51379 SERINGA DESC 05 ML UN 0.1900 0.1774 0.0126 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51379 SERINGA DESC 05 ML UN 0.1900 0.1774 0.0126 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.5338 0.7462 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.5338 0.7462 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51378 SERINGA DESC 03 ML UN 0.1500 0.1460 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51378 SERINGA DESC 03 ML UN 0.1500 0.1460 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51378 SERINGA DESC 03 ML UN 0.1500 0.1460 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51378 SERINGA DESC 03 ML UN 0.1500 0.1460 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51378 SERINGA DESC 03 ML UN 0.1500 0.1460 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5150 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5150 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5150 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5150 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2150 0.2950 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2150 0.2950 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 268049a93bd6b26b4f5b79b2e6ede297 SALVINA NULL NULL 12187025148 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.4120 0.1180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 268049a93bd6b26b4f5b79b2e6ede297 SALVINA NULL NULL 12187025148 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 268049a93bd6b26b4f5b79b2e6ede297 SALVINA NULL NULL 12187025148 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4760 0.1240 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4760 0.1240 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 2.3057 2.3043 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 51241 AGULHA 123X45 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 1.9406 0.6494 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 09070 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.7941 0.7959 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.3500 0.3450 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51660 BROMETO DE IPRATROPIO SL IN GT 4.8000 0.0000 4.8000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51660 BROMETO DE IPRATROPIO SL IN GT 3.2000 0.0000 3.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 2.8800 0.3491 2.5309 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.0581 0.4219 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1060 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2550 0.2550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 55019 CATETER BALAO P/ ANGIOPLASTIA CORONARIA 920.0000 690.0000 230.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 55019 CATETER BALAO P/ ANGIOPLASTIA CORONARIA 920.0000 690.0000 230.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12289578033 00111 ABOCATH N 14 A 22 UN 3.7700 3.7664 0.0036 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 000501 OXIGENIO 71.4200 52.3700 19.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 000501 OXIGENIO 43.8900 32.1830 11.7070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0373 0.0127 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51590 ABAIXADOR DE LINGUA UN 0.0300 0.0224 0.0076 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51590 ABAIXADOR DE LINGUA UN 0.0300 0.0225 0.0075 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7200 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7200 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5410 0.0590 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00124 LUVA CIRURGICA UN 1.4500 0.0000 1.4500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234617838 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 12262 ISOSSORBIDA 20 MG CP VO UN 0.2200 0.2158 0.0042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cfec8246cb6dd6b0209430096d4acc2e ZILDA NULL NULL 12216841040 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.2560 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 01c86ea9e8701666ebfce68f2b0f03a6 ZELIA NULL NULL 12298014038 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3565 0.0435 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 51584 ESPARADRAPO MICROPORE 0.2600 0.1600 0.1000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.1870 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0000 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 00124 LUVA CIRURGICA UN 1.4500 0.7237 0.7263 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 00124 LUVA CIRURGICA UN 1.4500 0.7237 0.7263 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 00124 LUVA CIRURGICA UN 1.4500 0.7240 0.7260 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a48e469abc716636c97d5b4032f77caa APARECIDA NULL NULL 12309719743 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2fd28f5aa76be7aa2072537d0ba85951 ELAINE NULL NULL 12255258142 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2fd28f5aa76be7aa2072537d0ba85951 ELAINE NULL NULL 12255258142 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.4990 0.5010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.5000 1.0100 0.4900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.5000 1.0100 0.4900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 40.5600 40.5567 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 40.5600 40.5567 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2550 0.2550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2550 0.2550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00090 SERINGA DESC 20 ML UN 1.0800 1.0700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 2.0200 2.0180 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7781a83504beb0f6fc1c86041782e8a1 ELODY NULL NULL 12320802443 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.9200 0.9615 0.9585 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6070 0.3930 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2761 0.0439 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2761 0.0439 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2761 0.0439 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2761 0.0439 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2761 0.0439 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5800 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a2cb1d00214ab61900fac49444b1672c CARMEM NULL NULL 12297674446 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 20010141 Ecocardiograma Bidimensional com Mapeamento de Fluxo à Cores 137.7500 0.0000 137.7500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.4200 0.3100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7380 0.2620 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00090 SERINGA DESC 20 ML UN 1.0800 1.0700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 06da7e6171666c282a23b6bfaea34946 ANA NULL NULL 12311962340 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2abb44c4a2ca59174467848d6678378d JESUINA NULL NULL 12266838249 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2abb44c4a2ca59174467848d6678378d JESUINA NULL NULL 12266838249 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9c457292aaeaf9fb2625e0716629becd ISABELLA NULL NULL 12263855845 00169 SORO GLICOSADO 5% 500 ML SI IV BS 10.3800 7.7970 2.5830 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 36731 Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) 19.2000 18.1300 1.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 1.7000 0.0000 1.7000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 1.7000 0.0000 1.7000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 17252 LIDOCAINA 2% GE OU TP GR 2.5900 1.8467 0.7433 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2940 0.1060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5350 0.0650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2670 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2670 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2670 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2820 0.0180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.3142 0.9658 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.0793 0.2407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2680 0.2420 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00124 LUVA CIRURGICA UN 2.9000 2.8960 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00124 LUVA CIRURGICA UN 1.4500 1.4480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 013b155943183fa582252ca154e5569f JUVELINA NULL NULL 12165747648 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 2.1000 1.3100 0.7900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3901 0.0099 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3901 0.0099 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3901 0.0099 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3901 0.0099 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3901 0.0099 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0120 0.0180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0000 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0000 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0000 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0000 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0000 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00097 ABOCATH N 14 A 22 UN 3.7700 2.5108 1.2592 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.0460 0.3540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.0460 0.3540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.0460 0.3540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 93ab10613d6a84b2e98ec68d66f5f061 LEOVEGILDO NULL NULL 12184124349 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12286876434 19151 SERINGA DESC 10 ML UN 0.0000 0.6662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12286876434 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12286876434 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bfe0dce5ba78a927b1ddf0f5d8bcfddc JOSE NULL NULL 12263204342 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 6.8164 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c4ded5870d9f9e4fcca132088e427e19 JOSE NULL NULL 12255378848 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.2560 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 746eeaebe2f62a37d1e90b723720acb8 JOAO NULL NULL 12235405732 19160 SERINGA DESC 20 ML UN 0.0000 0.5380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291130231 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291130231 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 679bafba1e46e48177b69c2d8cb34c73 JOANA NULL NULL 12332118930 33227 LUVA CIRURGICA UN 0.0000 1.4475 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 afb55c8be5f6cc50fb22f7a5aa0cd72f JACQUELINE NULL NULL 12265038634 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 05b1f0e1319ebc19385e39a443384241 JACOB NULL NULL 12274165832 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 a7bb548f3353cba5fac1c27ef7fcd943 JACKSON NULL NULL 12281475030 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222531131 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222531131 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9c457292aaeaf9fb2625e0716629becd ISABELLA NULL NULL 12263855845 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.0266 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9c457292aaeaf9fb2625e0716629becd ISABELLA NULL NULL 12263855845 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 69b2457f91b8c9cd6710f195975451b7 IRANI NULL NULL 12255365939 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 69b2457f91b8c9cd6710f195975451b7 IRANI NULL NULL 12255365939 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0921fd1fdec226a623f2a3e272f6d27c GRASSIELA NULL NULL 12248207537 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 32190 CLORETO DE POTASSIO 10% 10 ML SI I 0.0000 1.1868 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 792c9785a1e3905ad1f4f4ddb78a9694 GERALDA NULL NULL 12321408539 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.0000 0.2050 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 792c9785a1e3905ad1f4f4ddb78a9694 GERALDA NULL NULL 12321408539 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 792c9785a1e3905ad1f4f4ddb78a9694 GERALDA NULL NULL 12321408539 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 18333 ALFENTANILA 0,544 MG/ML 5 ML SI IV 0.0000 6.3773 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 57908 SORO RINGER COM LACTATO 500 ML SI 0.0000 5.2778 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 20362 SONDA URETRAL N 10 UN 0.0000 0.4265 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 01740 ATADURA CREPOM 15 CM UN 0.0000 1.1657 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 50385 CETOPROFENO 100 MG PO IV FA 0.0000 7.7768 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 20885 SUFENTANILA 50 MCG/ML 1 ML SI IV P 0.0000 19.1586 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d1d2e0b986289681072cfb591ffd68af EUNICE NULL NULL 12325796035 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 20362 SONDA URETRAL N 10 UN 0.0000 0.4265 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 54d59bca98bdfc6e3183f3c58c8080a2 ELIABY NULL NULL 12220882236 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 54d59bca98bdfc6e3183f3c58c8080a2 ELIABY NULL NULL 12220882236 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 54d59bca98bdfc6e3183f3c58c8080a2 ELIABY NULL NULL 12220882236 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2fd28f5aa76be7aa2072537d0ba85951 ELAINE NULL NULL 12255258142 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12330307230 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321409939 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321409939 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321409939 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321471846 27596 TIRA TESTE PARA GLICOSE UN 0.0000 2.5876 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 35190 SALBUTAMOL 100 MCG SY VO DS 0.0000 0.2490 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 635cd71723457924a301ac7a159d9b2b BATISTINA NULL NULL 12319870235 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5484 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.7700 0.7612 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3048 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7840 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.7900 0.6235 0.1665 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.6000 0.4676 0.1324 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 2.4644 1.2180 0.2720 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6900 1.6400 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 26999 GANCICLOVIR 500 MG + DIL. PO IV F 151.0400 151.0374 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 26999 GANCICLOVIR 500 MG + DIL. PO IV F 151.0400 151.0374 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059418 2b7fa68849020525c5658d9f96623f14 VICTOR NULL NULL 12323735120 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059418 7e6117ac94f603a115a3c16972503f7a ABADIA NULL NULL 12309758821 20010010 ECG ELETROCARDIOGRAMA 0.0000 16.5300 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235281439 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.7980 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 30813 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.3252 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3830 0.0970 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2500 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 54653 DERSANI LC TP ML 19.4000 3.7300 15.6700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 54653 DERSANI LC TP ML 19.4000 3.7300 15.6700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51584 ESPARADRAPO MICROPORE 0.2600 0.0600 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51584 ESPARADRAPO MICROPORE 0.2600 0.0700 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51584 ESPARADRAPO MICROPORE 0.2600 0.0700 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2200 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 10.1392 10.1408 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1470 0.0930 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1470 0.0930 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1470 0.0930 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2810 0.2490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 03280 CLOREXIDINA 2 % ST TP ML 0.2900 0.1530 0.1370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 54555 AEROLIN 0.5000 0.4980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.3110 0.3090 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.6550 0.1550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.6550 0.1550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.6550 0.1550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.6550 0.1550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3230 0.0770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00069 SERINGA DESC 10 ML UN 0.3300 0.1732 0.1568 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00069 SERINGA DESC 10 ML UN 0.3300 0.1732 0.1568 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51419 FILTRO DE BARREIRA 24.0000 16.0000 8.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.6570 0.0130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.1900 0.1538 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.1900 0.1538 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.1900 0.1538 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.1900 0.1538 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.1900 0.1538 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.1900 0.1538 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1300 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1300 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1300 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1300 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1300 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1300 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1300 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3809 0.0191 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0280 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51378 SERINGA DESC 03 ML UN 0.1500 0.1400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4027 0.1873 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4027 0.1873 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1200 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 00097 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 00097 ABOCATH N 14 A 22 UN 3.7700 3.7661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3130 0.0870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3130 0.0870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6000 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6100 0.3900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6100 0.3900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6100 0.3900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 09b825abc9ef518ba223f29f2bf7c07b WALDEMAR NULL NULL 12171249749 51475 FUMARATO DE QUETIAPINA 25 MG CA VO UN 1.2500 1.2471 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.4400 1.1090 0.3310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3690 0.1110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3690 0.1110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3690 0.1110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9389 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.5600 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0384 0.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.3070 0.4630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2200 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.1110 0.5590 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6650 0.3350 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6650 0.3350 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6650 0.3350 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.2620 0.3380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1310 0.1690 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1310 0.1690 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.9800 0.9700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.9800 0.9700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 53858 NISTATINA CV VG GR 0.0900 0.0283 0.0617 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51660 BROMETO DE IPRATROPIO SL IN GT 1.6000 0.0400 1.5600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0200 0.7800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0300 0.7700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2080 0.5220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2080 0.5220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 4.9759 0.2141 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 01603 GLICOSE 50% 10 ML SI IV AP 2.7400 2.7370 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00169 SORO GLICOSADO 5% 500 ML SI IV BS 15.5700 15.5666 0.0034 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8185 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8185 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 13.2000 13.1950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 2.5637 0.2663 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 2.5637 0.2663 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 2.5637 0.2663 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8253 0.1347 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8253 0.1347 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8253 0.1347 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8253 0.1347 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 03280 CLOREXIDINA 2 % ST TP ML 5.3200 2.1640 3.1560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2150 0.3150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2150 0.3150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3476 0.0524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.4900 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 09340 LEVOFLOXACINO 5 MG/ML 100 ML SI IV BS 105.6800 105.6771 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 13.6300 6.8123 6.8177 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 2.1840 0.4560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 2.5600 1.9450 0.6150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51584 ESPARADRAPO MICROPORE 0.7700 0.5850 0.1850 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51584 ESPARADRAPO MICROPORE 0.2600 0.1970 0.0630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51584 ESPARADRAPO MICROPORE 0.2600 0.1970 0.0630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51584 ESPARADRAPO MICROPORE 0.2600 0.2090 0.0510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3330 0.0670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3330 0.0670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.6661 0.3339 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.6662 0.3338 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4524 0.1376 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2912 0.0188 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2912 0.0188 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00124 LUVA CIRURGICA UN 1.4500 0.6206 0.8294 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00124 LUVA CIRURGICA UN 1.4500 0.6206 0.8294 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00124 LUVA CIRURGICA UN 1.4500 0.6206 0.8294 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5995 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8320 0.1680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8320 0.1680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1877 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.3719 0.2181 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00069 SERINGA DESC 10 ML UN 0.3300 0.3190 0.0110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00069 SERINGA DESC 10 ML UN 0.3300 0.3190 0.0110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00098 ABOCATH N 14 A 22 UN 3.7700 2.2609 1.5091 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.5590 0.1110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1780 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1780 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1780 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1780 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1780 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5013 0.0887 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5013 0.0887 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5013 0.0887 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5013 0.0887 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00124 LUVA CIRURGICA UN 1.4500 1.2665 0.1835 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0400 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.3670 0.1630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 27.0600 0.0000 27.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291130231 19160 SERINGA DESC 20 ML UN 0.0000 0.5380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 a7bb548f3353cba5fac1c27ef7fcd943 JACKSON NULL NULL 12281475030 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.0768 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9c457292aaeaf9fb2625e0716629becd ISABELLA NULL NULL 12263855845 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00485 AGUA BIDESTILADA 500 ML SI IM IV 0.0000 6.4269 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0921fd1fdec226a623f2a3e272f6d27c GRASSIELA NULL NULL 12248207537 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0921fd1fdec226a623f2a3e272f6d27c GRASSIELA NULL NULL 12248207537 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0921fd1fdec226a623f2a3e272f6d27c GRASSIELA NULL NULL 12248207537 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 f75b8a3ca92d2c95e65d2fff98be2d29 FRANCISCO NULL NULL 12270769836 19666 SONDA ENDOTRAQUEAL PVC C/B Nş 8,0 U 0.0000 22.1870 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 50385 CETOPROFENO 100 MG PO IV FA 0.0000 7.7768 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 20672 SORO RINGER SIMPLES 500 ML SI IV 0.0000 5.9383 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 20362 SONDA URETRAL N 10 UN 0.0000 0.4265 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.0266 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320058937 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12330307230 19151 SERINGA DESC 10 ML UN 0.0000 0.6662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a2cb1d00214ab61900fac49444b1672c CARMEM NULL NULL 12297674446 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321409939 33227 LUVA CIRURGICA UN 0.0000 1.4475 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cc4c5c9ac52be7906f0b6ce08416d241 BRUNA NULL NULL 12267241344 19160 SERINGA DESC 20 ML UN 0.0000 0.5380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cc4c5c9ac52be7906f0b6ce08416d241 BRUNA NULL NULL 12267241344 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 635cd71723457924a301ac7a159d9b2b BATISTINA NULL NULL 12319870235 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a48e469abc716636c97d5b4032f77caa APARECIDA NULL NULL 12309719743 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 c1f57a943a1055ad263b610d99977b67 ANITA NULL NULL 12248276839 18988 SCALP (TODOS) UN 0.0000 0.3971 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0b0d528834878a853de575d6fda99575 ANDRE NULL NULL 12276785149 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0b0d528834878a853de575d6fda99575 ANDRE NULL NULL 12276785149 24554 FIO VICRYL 3-0 C/ AGULHA 2,0 3/8 J 0.0000 23.1094 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP 37.9900 37.9855 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 10.2200 3.3984 6.8216 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.1339 2.2761 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00838 HIDRALAZINA 50 MG DG VO UN 0.3200 0.2600 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00838 HIDRALAZINA 50 MG DG VO UN 0.3200 0.2600 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00838 HIDRALAZINA 50 MG DG VO UN 0.3200 0.2700 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00881 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.2652 0.0648 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00881 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.2652 0.0648 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02735 TARGOCID (TEICOPLANINA) 400 MG 3 ML PO IM IV FA 362.7200 181.3591 181.3609 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02735 TARGOCID (TEICOPLANINA) 400 MG 3 ML PO IM IV FA 362.7200 181.3591 181.3609 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 10820 FILGRASTIM 300 MCG 1 ML SI IV SC 0.0000 523.3778 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 12408 KANAKION (FITOMENADIONA) 10 MG/ML 1 0.0000 1.8658 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.7980 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 14460 DOMPERIDONA 10 MG CP VO UN 0.3900 0.3900 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 21261 TEICOPLANINA 400 MG + DIL. 3 ML PO 362.7200 362.7166 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 14370 FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ 0.0000 6.6869 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 31640 SERTRALINA 50 MG CP VO UN 0.0000 1.3760 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3230 0.0770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3230 0.0770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51164 AGUA BIDESTILADA 500 ML 6.4300 6.4260 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 2.0400 0.0000 2.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1930 0.1070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1930 0.1070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 54687 IODOPOVIDONA SD TP ML 0.4000 0.2400 0.1600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8242 0.1358 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.3800 0.1500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 2.6900 2.6810 0.0090 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0800 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00069 SERINGA DESC 10 ML UN 1.0000 0.7677 0.2323 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12190351843 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12190351843 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12190351843 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5800 0.4200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1300 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1300 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0600 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00069 SERINGA DESC 10 ML UN 0.3300 0.2629 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00069 SERINGA DESC 10 ML UN 0.3300 0.2629 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00069 SERINGA DESC 10 ML UN 0.3300 0.2629 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.7943 0.7957 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 3.9440 0.7860 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.4453 0.3647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.4453 0.3647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0400 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00555 LAMINA BISTURI N 10, 11,12 E 15 UN 0.5500 0.2753 0.2747 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3010 0.0990 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.3870 0.2830 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.3870 0.2830 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3930 0.2070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1960 0.1040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51241 AGULHA 123X45 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51241 AGULHA 123X45 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51241 AGULHA 123X45 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51241 AGULHA 123X45 0.1900 0.0000 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.9797 0.3003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.3520 0.2380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.3200 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0800 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6940 0.3060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6940 0.3060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8095 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8095 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00348 DIPIRONA 500 MG CP VO UN 1.0900 0.8400 0.2500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00348 DIPIRONA 500 MG CP VO UN 0.5400 0.4200 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00348 DIPIRONA 500 MG CP VO UN 0.5400 0.4200 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00348 DIPIRONA 500 MG CP VO UN 0.5400 0.4200 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 51584 ESPARADRAPO MICROPORE 0.2600 0.0016 0.2584 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4340 0.1660 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2170 0.0830 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.2400 0.1730 0.0670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.9310 0.7390 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.1178 0.4722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.1183 0.4717 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00124 LUVA CIRURGICA UN 1.4500 1.2076 0.2424 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 02246 HIDROCORTISONA 100 MG PO IM IV FA 8.5000 3.2517 5.2483 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 02246 HIDROCORTISONA 100 MG PO IM IV FA 8.5000 3.2517 5.2483 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 10.6300 2.9000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 10.6300 2.9000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 10.6300 2.9000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283876047 00557 LAMINA BISTURI N 20, 22 E 24 UN 0.6700 0.6675 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51662 Simeticona frasco c/15 ml 2.1000 1.9000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51662 Simeticona frasco c/15 ml 2.1000 1.9000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51662 Simeticona frasco c/15 ml 1.0500 0.9500 0.1000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51662 Simeticona frasco c/15 ml 1.0500 0.9600 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51662 Simeticona frasco c/15 ml 1.0500 0.9600 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 01296 MORFINA 0,2 MG 1 ML SI IT IV PE AP 4.1400 3.3150 0.8250 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2280 1.6020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00704 MEROPENEM 1G PO IV FA 308.7600 154.3806 154.3794 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00704 MEROPENEM 1G PO IV FA 154.3800 77.1903 77.1897 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.3035 0.5765 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.3035 0.5765 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1570 0.2430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1570 0.2430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0130 0.0170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7963 0.1637 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7963 0.1637 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 09340 LEVOFLOXACINO 5 MG/ML 100 ML SI IV BS 105.6800 105.6775 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4400 1.9700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.2600 0.2070 0.0530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0864 0.0136 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320508342 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.3660 0.3040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320508342 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 14664 NALOXONA 0,4 MG/ML 1 ML SI IM IV S 0.0000 7.4179 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 17906 PROTAMINA 1000 UI/ML 5 ML SI IV AP 0.0000 16.3392 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 35e8532c73d2bb2090e8bfa17e921f15 ZELIA NULL NULL 12277408513 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 565a7631348e37fdb3729358cf21cec1 VANIA NULL NULL 12263447215 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 ac29f36abbfa24004eb9efb42cdd45eb VALERIA NULL NULL 12309525614 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 753c84e1fe71f9a70b9b36d18828ba40 SUZANE NULL NULL 12297971511 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 e3e6c06b12de2f8beedcf029ac1083bc ROSANGELA NULL NULL 12343504219 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 985f5fd48cc7028f8c508797b43eda83 RAIMUNDA NULL NULL 12254379116 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 9d0950f14d23ea1b4d26f66a38c64d77 PAULA NULL NULL 12332723315 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 68e4fbc1f7689627e00a78630177dce9 NOEMIA NULL NULL 12325561315 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.1300 0.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.5000 0.9550 0.5450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2580 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00069 SERINGA DESC 10 ML UN 0.3300 0.2437 0.0863 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5000 0.5000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0000 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0000 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0000 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00090 SERINGA DESC 20 ML UN 0.5400 0.4930 0.0470 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00126 LUVA CIRURGICA UN 5.7900 1.5783 4.2117 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dc0262e6d5010acfe6a18c66d0d30ed3 OSMIDA NULL NULL 12264720947 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.4440 0.5560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 25040014 Fisioterapia Respiratória - em Doente Clínico Internado 24.5600 18.8900 5.6700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 25040014 Fisioterapia Respiratória - em Doente Clínico Internado 24.5600 18.9000 5.6600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 25040014 Fisioterapia Respiratória - em Doente Clínico Internado 24.5600 18.9000 5.6600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0200 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 3.5502 0.3898 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 3.5502 0.3898 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 3.5502 0.3898 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 3.5502 0.3898 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 01400 ALPRAZOLAM 0,5 MG CP VO UN 0.4700 0.3900 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7112 0.0988 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3512 0.0488 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.3850 0.6150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.3500 0.3466 0.0034 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1782 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1782 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 18110 Levotiroxina 50mcg Cp. 0.4000 0.2000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.6680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 00031 AGULHA DESC 13 X 45 UN 0.7700 0.0430 0.7270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 51241 AGULHA 123X45 0.1900 0.0108 0.1792 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12315497533 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12315497533 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 1.6650 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12269071038 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 72c33ead971af5baf1eca656499a45a0 TEREZA NULL NULL 12184732933 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 b85c60141d4de3f2910457b0ff9b4eb5 SIMONE NULL NULL 12238458533 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 19763 SONDA FOLEY 2 VIAS Nş 16 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.0000 0.8078 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 20.2784 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dc0262e6d5010acfe6a18c66d0d30ed3 OSMIDA NULL NULL 12264720947 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235281439 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6cc91d0bae7ee80faf1515c3c1bc4604 OLGA NULL NULL 12241643640 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12254155740 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234617838 27596 TIRA TESTE PARA GLICOSE UN 0.0000 2.5876 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234617838 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234617838 02461 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.0000 0.4255 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222597035 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 be3a00aea8414caa2481fbd5acdbea6d MARTA NULL NULL 12223656239 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7412 0.0688 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3666 0.0334 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP 151.9400 145.8639 6.0761 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP 75.9700 72.9319 3.0381 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2570 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 51584 ESPARADRAPO MICROPORE 0.2600 0.2570 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4600 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2300 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1100 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1100 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.5800 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00125 LUVA CIRURGICA UN 1.4500 1.3600 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00124 LUVA CIRURGICA UN 1.4500 1.3700 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 6.2100 5.7301 0.4799 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3702 0.4398 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3702 0.4398 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3702 0.4398 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.8551 0.0749 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.8551 0.0749 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.8551 0.0749 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0426 0.0074 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2760 0.1240 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8500 0.1500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8520 0.1480 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00090 SERINGA DESC 20 ML UN 0.5400 0.4900 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00090 SERINGA DESC 20 ML UN 0.5400 0.4900 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 4.8314 0.3486 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4157 0.1743 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1880 0.0720 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1069 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.4200 0.3100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.4200 0.3100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.3203 0.9597 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.5000 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.8940 0.7760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5350 0.4650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 51240 FITA ADVANTAGE P/ GLICOSE UN 7.7600 7.7540 0.0060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dee5a0d03c4673fe8898c0a0fff00916 ANA NULL NULL 12276505648 51584 ESPARADRAPO MICROPORE 2.0500 1.6400 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dee5a0d03c4673fe8898c0a0fff00916 ANA NULL NULL 12276505648 51589 ESPARADRAPO 10 X 4.5 CM CM 1.6000 0.2040 1.3960 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12254218741 00097 ABOCATH N 14 A 22 UN 3.7700 1.8830 1.8870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1885 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.6853 0.2747 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.6853 0.2747 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3426 0.1374 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3426 0.1374 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.5140 0.0160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.5140 0.0160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51660 BROMETO DE IPRATROPIO SL IN GT 3.2000 0.0000 3.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51660 BROMETO DE IPRATROPIO SL IN GT 3.2000 0.0000 3.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4085 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4085 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4085 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4085 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254419131 00069 SERINGA DESC 10 ML UN 0.6700 0.6661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248305538 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c4ded5870d9f9e4fcca132088e427e19 JOSE NULL NULL 12255378848 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1920 0.1080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 93ab10613d6a84b2e98ec68d66f5f061 LEOVEGILDO NULL NULL 12184124349 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 2.3058 2.3042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 f75b8a3ca92d2c95e65d2fff98be2d29 FRANCISCO NULL NULL 12270769836 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1780 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 2e2f03e046097465ccdb246bcd3e2aa7 JUAREZ NULL NULL 12317886530 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12183280231 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 19763 SONDA FOLEY 2 VIAS Nş 16 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 14370 FIO MONONYLON 3-0 C/ AGULHA 2,4 3/ 0.0000 6.6869 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 644149ebf2a2c69f938aa1ae22f5ef7f MARIA NULL NULL 12185221839 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 644149ebf2a2c69f938aa1ae22f5ef7f MARIA NULL NULL 12185221839 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 20.2784 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 644149ebf2a2c69f938aa1ae22f5ef7f MARIA NULL NULL 12185221839 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 14664 NALOXONA 0,4 MG/ML 1 ML SI IM IV S 0.0000 7.4179 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5c8ab2d370e46d473148b3824dded22f LINI NULL NULL 12159460648 50644 MORFINA 10 MG/ML 1 ML SI IM IV PE 0.0000 2.6390 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5c8ab2d370e46d473148b3824dded22f LINI NULL NULL 12159460648 27596 TIRA TESTE PARA GLICOSE UN 0.0000 2.5876 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283876047 50385 CETOPROFENO 100 MG PO IV FA 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 17.0400 17.0348 0.0052 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3883 0.0117 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3883 0.0117 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3883 0.0117 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3883 0.0117 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3883 0.0117 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00938 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00122 LUVA CIRURGICA UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 999999 INSUMOS 40080200 0.0000 175.2809 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 33010013 U.S. Abdômen Superior 0.0000 0.0000 NULL EXAME SEM REGISTRO DE EXECUCAO 2703
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 20010230 Ecodoppler Transoperatório Esofágico NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 52010023 Artrodese da Coluna Vertebral Via Anterior ou Póstero Lateral 123.1800 100.3100 22.8700 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00859 ENALAPRIL 10 MG CP VO UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 26030012 Cariótipo de Sangue ou Medula (Técnicas com Bandas) NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 55968 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 15010023 Hemodiálise (Por Sessão) NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 54157 EQUIPO P/ DIETA ENTERAL UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 38256 COLAGENASE PM TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 36362 PANTOPRAZOL GENERICO NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 25040014 ASSISTENCIA FISIATRICA RESPIRATORIA 24.5600 0.0000 24.5600 NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 25030019 DISTURBIOS CIRCULATORIOS ARTERIO VE 22.9200 0.0000 22.9200 NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54685 POLVIDINE ALCOOLICA NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54685 POLVIDINE ALCOOLICA NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 51649 ALCOOL ETILICO 70 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 000445 TAXA DE TRANSPORTE E INSTALACAO DE EQUIPAMENTO DE NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 56928 MODULO DE PROTEINAS DO SORO DO LEIT 0.0000 6.6000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51622 MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR 6.6000 1.7530 4.8470 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51622 MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR 6.6000 1.7530 4.8470 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00090 SERINGA DESC 20 ML UN 0.5400 0.1430 0.3970 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00090 SERINGA DESC 20 ML UN 0.5400 0.1430 0.3970 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.1350 0.3750 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51379 SERINGA DESC 05 ML UN 0.1900 0.0500 0.1400 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2796 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2600 0.2500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2700 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2700 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51378 SERINGA DESC 03 ML UN 0.1500 0.0200 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51378 SERINGA DESC 03 ML UN 0.1500 0.0300 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 33219 LUVA DE PROCEDIMENTO UNIDADE UN 3.3300 3.3300 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 00540 AGULHA DESC 13 X 45 UN 1.9122 1.1532 0.5668 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 11193 CLOREXIDINA 2 % ST TP ML 2.8994 2.9260 -0.2660 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1806 0.0094 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 201006 TAXA DE SALA PORTE V 299.9900 599.9967 -300.0067 PROCEDIMENTO NAO REALIZADO OU NAO I 0403
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 32719 CEFAZOLINA 1 GR + DIL. 10 ML FA 8.1300 8.1275 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 32719 CEFAZOLINA 1 GR + DIL. 10 ML FA 8.1300 8.1275 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 20362 SONDA URETRAL N 10 UN 0.0000 0.4265 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.7900 0.6235 0.1665 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 2.4644 1.2180 0.2720 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6900 1.6400 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6900 1.6400 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00091 SERINGA DESC 01 ML (INSULINA) UN 1.2300 1.1977 0.0323 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059418 9c0dd9de80ed2199aae12c9cfd765e76 VITORIA NULL NULL 12255119120 32050038 TORAX PA 0.0000 15.7530 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 72c33ead971af5baf1eca656499a45a0 TEREZA NULL NULL 12184732933 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.7980 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00838 HIDRALAZINA 50 MG DG VO UN 0.6400 0.1780 0.4620 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00838 HIDRALAZINA 50 MG DG VO UN 0.3200 0.0890 0.2310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00838 HIDRALAZINA 50 MG DG VO UN 0.3200 0.0890 0.2310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7000 0.3000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.1415 0.5885 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2400 0.2900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 54685 POLVIDINE ALCOOLICA 0.6000 0.3600 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 54653 DERSANI LC TP ML 19.4000 3.7400 15.6600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51584 ESPARADRAPO MICROPORE 0.2600 0.0700 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51584 ESPARADRAPO MICROPORE 0.2600 0.0700 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4200 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4200 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2200 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2200 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2200 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.0589 0.5311 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2500 0.2600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2600 0.2500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1470 0.0930 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 1.2400 1.1472 0.0928 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 03280 CLOREXIDINA 2 % ST TP ML 0.8000 0.4240 0.3760 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2810 0.2490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2810 0.2490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 54555 AEROLIN 0.5000 0.4980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 54555 AEROLIN 0.5000 0.4980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51660 BROMETO DE IPRATROPIO SL IN GT 3.2000 0.0000 3.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00124 LUVA CIRURGICA UN 2.9000 2.6300 0.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00124 LUVA CIRURGICA UN 2.9000 2.6300 0.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 2.4900 2.4899 0.0001 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.5500 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.5500 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.5500 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.5600 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5654 0.0346 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5654 0.0346 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5654 0.0346 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6660 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.9970 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 52216 GLICOSE 50% 20 ML SI IV AP 2.1400 2.1358 0.0042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.9200 0.9104 1.0096 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4552 0.5048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5407 0.0593 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51219 ALENIA 1.1700 0.1670 1.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51219 ALENIA 1.1700 0.1670 1.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51219 ALENIA 1.1700 0.1730 0.9970 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.4996 0.5004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.4996 0.5004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.9850 0.6850 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 0.0000 3.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 2.5637 0.2663 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6052 0.0848 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6052 0.0848 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6052 0.0848 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6052 0.0848 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6052 0.0848 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6052 0.0848 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 20.9900 20.9900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54685 POLVIDINE ALCOOLICA NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54685 POLVIDINE ALCOOLICA NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54687 IODOPOVIDONA SD TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 03766 DOMPERIDONA 10 MG CP VO UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 0.0000 1.5856 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00123 LUVA CIRURGICA UN 0.0000 0.0000 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 1.6690 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 1.6640 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 0.0000 3.0894 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 0.0000 3.0894 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00170 SORO GLICOSADO 5% 250 ML SI IV BS 0.0000 6.1517 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00174 Soro Ringer C/ Lactato Bolsa C/ 500ml 0.0000 10.5512 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 0.0000 20.9875 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 03280 CLOREXIDINA 2 % ST TP ML 0.0000 0.4540 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.0000 2.2246 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0000 0.2900 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0000 0.2900 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0000 0.2900 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0000 0.5700 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0000 1.1400 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51584 ESPARADRAPO MICROPORE 0.0000 0.2600 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51584 ESPARADRAPO MICROPORE 0.0000 0.7600 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 0.0000 2.4900 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 0.0000 3.7300 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 54685 POLVIDINE ALCOOLICA 0.0000 0.2200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 54685 POLVIDINE ALCOOLICA 0.0000 0.2200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3057 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3028 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3028 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3028 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3028 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3028 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5300 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5300 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 1.0400 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00943 EQUIPO POLIFIX 2 VIAS UN 0.0000 5.7357 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 93ab10613d6a84b2e98ec68d66f5f061 LEOVEGILDO NULL NULL 12184124349 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1056380 26fdc5b0214f7afea931a6d5462df9e0 AMABILI NULL NULL 12165715410 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 0.0000 NULL GUIA DE CONSULTA NAO EXECUTADA 0622
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 18716 RISPERIDONA 1 MG CP VO UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 12882 FLUMAZENIL 0,1 MG/ML 5 ML SI IV AP 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 02461 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 07587 DRAMIN B6 DL (DIMENIDRINATO + PIRID 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 013b155943183fa582252ca154e5569f JUVELINA NULL NULL 12165747648 17310 IODOPOVIDONA ALCOOLICA SL TP ML 0.0000 2.4000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 000435 TAXA DE RESPIRADOR A VOLUME (MAI) 0.0000 635.0098 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 25040014 ASSISTENCIA FISIATRICA RESPIRATORIA 0.0000 184.2300 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 201002 TAXA DE SALA PORTE 1 0.0000 0.0000 NULL PROCEDIMENTO REALIZADO DIFERENTE DO 0404
Glosa Min 2018-04-15 00:00:00.000000 1059439 7781a83504beb0f6fc1c86041782e8a1 ELODY NULL NULL 12320802443 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 18457 REPARIL (ESCINA + DIETILAMONIO) GL 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 25040014 ASSISTENCIA FISIATRICA RESPIRATORIA 0.0000 135.1020 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 25030019 DISTURBIOS CIRCULATORIOS ARTERIO VE 0.0000 126.0952 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 268049a93bd6b26b4f5b79b2e6ede297 SALVINA NULL NULL 12187025148 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 21010021 ANATOMO PATOLOGICO DE PECA RADICAL 0.0000 0.0000 NULL EXAME(S) NAO JUSTIFICADO(S) SOB INT 0505
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 13757 IODOPOVIDONA SD TP ML 0.0000 0.3000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 dc0262e6d5010acfe6a18c66d0d30ed3 OSMIDA NULL NULL 12264720947 24791 CATETER BALAO P/ ANGIOPLASTIA CORON 0.0000 460.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 09b825abc9ef518ba223f29f2bf7c07b WALDEMAR NULL NULL 12171249749 57495 FILTRO BARREIRA E REGENERADOR DE CA 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 07315 DIPROSALIC (DIPROPIONATO DE BETAMET 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 57495 FILTRO BARREIRA E REGENERADOR DE CA 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 dee5a0d03c4673fe8898c0a0fff00916 ANA NULL NULL 12276505648 13749 MARCAPASSO CARDIACO MULTIPROGRAM. C 0.0000 4324.3398 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d1d2e0b986289681072cfb591ffd68af EUNICE NULL NULL 12325796035 00111 ABOCATH N 14 A 22 UN 18.8300 18.8252 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d2a64df14d76528bbd25fc52fbc92cae JOSE NULL NULL 12241648736 00124 LUVA CIRURGICA UN 1.4500 1.4480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d2a64df14d76528bbd25fc52fbc92cae JOSE NULL NULL 12241648736 51584 ESPARADRAPO MICROPORE 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00069 SERINGA DESC 10 ML UN 0.3300 0.3293 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00069 SERINGA DESC 10 ML UN 0.6700 0.6681 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1100 0.1500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51240 FITA ADVANTAGE P/ GLICOSE UN 7.7600 7.7544 0.0056 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00090 SERINGA DESC 20 ML UN 0.5400 0.5130 0.0270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00090 SERINGA DESC 20 ML UN 0.5400 0.5130 0.0270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00090 SERINGA DESC 20 ML UN 1.0800 1.0270 0.0530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.0589 0.5311 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.0300 0.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.0300 0.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.0300 0.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.0300 0.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.0300 0.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2860 0.0440 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2710 0.0590 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.3720 0.2980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.3720 0.2980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.3720 0.2980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00097 ABOCATH N 14 A 22 UN 3.7700 3.7660 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0350 0.1450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.0370 0.1530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.4720 0.5280 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2450 0.0550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 00826 TRANSAMIN (ACIDO TRANEXAMICO) 50 MG/ML 5 ML SI I 13.1500 9.8679 3.2821 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.1830 0.1470 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5370 0.4630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5370 0.4630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5370 0.4630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.8970 0.7730 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0384 0.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 166.9000 166.8985 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.9256 0.0344 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 2.8800 2.7768 0.1032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 3.8500 3.7121 0.1379 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 25040014 Fisioterapia Respiratória - em Doente Clínico Internado 24.5600 10.5270 14.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00743 OXACILINA 500 MG + DIL. 3 ML PO IM IV FA 9.0800 9.0795 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00743 OXACILINA 500 MG + DIL. 3 ML PO IM IV FA 9.0800 9.0795 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 0.9559 1.5941 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.3176 1.2724 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.3170 0.3530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.4730 0.5270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 02355 AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML 36.4700 36.4650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 02355 AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML 36.4700 36.4650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 02355 AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML 36.4700 36.4650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54685 POLVIDINE ALCOOLICA NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 55968 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00938 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 03766 DOMPERIDONA 10 MG CP VO UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 0.0000 3.1800 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 0.0000 6.3500 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 0.0000 3.0894 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 0.0000 3.0894 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 0.0000 6.1788 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00169 SORO GLICOSADO 5% 500 ML SI IV BS 0.0000 4.7021 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00182 SULFATO DE MAGNESIO 500 MG/ML 10 ML SI IM IV AP 0.0000 1.3573 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 02246 HIDROCORTISONA 100 MG PO IM IV FA 0.0000 2.2680 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00238 ATADURA CREPOM 15 CM UN 0.0000 1.1657 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.0000 0.4800 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 27042 CLOREXIDINA 2 % ST TP ML DEGERMANTE 0.0000 0.6860 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 03280 CLOREXIDINA 2 % ST TP ML 0.0000 0.6860 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.0000 0.5882 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.0000 0.5882 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51584 ESPARADRAPO MICROPORE 0.0000 0.5100 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51710 CLORETO DE POTASSIO 15% 10 ML SI IV AP 0.0000 0.6862 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP 0.0000 18.9900 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3028 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3028 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3028 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3028 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5300 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5300 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5300 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5300 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5300 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5300 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 1.0400 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 1.0400 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 c4ded5870d9f9e4fcca132088e427e19 JOSE NULL NULL 12255378848 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.5120 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 08460 EQUIPO P/ SOLUÇOES FOTOSSENSIVEIS U 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 19216 SEVOFLURANO 1 ML/ML (100%) SL IN M 0.0000 352.1000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 25040014 ASSISTENCIA FISIATRICA RESPIRATORIA 0.0000 110.5380 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 32050054 TORAX PA LAT 0.0000 0.0000 NULL EXAMES COMPLEMENTARES SEM LAUDO E/O 0504
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 30139 AMIODARONA 200 MG CP VO UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 28959 DERSANI LC TP ML 0.0000 9.7000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 25040014 ASSISTENCIA FISIATRICA RESPIRATORIA 0.0000 85.9740 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 58750 AGULHA P/ PUNÇAO PERCUTANEA UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 000501 OXIGENIO 0.0000 45.6320 NULL GLOSA EM SERVICOS HOSPITALARES 0300
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 22748 LIDOCAINA 2% GE TP OU GR 0.0000 2.5940 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01740 ATADURA CREPOM 15 CM UN 0.0000 3.4971 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 25030019 DISTURBIOS CIRCULATORIOS ARTERIO VE 0.0000 57.3160 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 25030019 DISTURBIOS CIRCULATORIOS ARTERIO VE 0.0000 45.8528 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 20885 SUFENTANILA 50 MCG/ML 1 ML SI IV P 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 19917 SONDA NASOGASTRICA LONGA Nş 18 UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 25739 ELETRODO DESCARTAVEL (UTI) UN 0.0000 2.7669 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1055123 4e13adf421809cb755e1bdd80cc4efed AGRIPINA NULL NULL 12325730131 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 06da7e6171666c282a23b6bfaea34946 ANA NULL NULL 12311962340 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1200 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1200 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00090 SERINGA DESC 20 ML UN 0.5400 0.5130 0.0270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0300 0.0000 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.0300 0.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2710 0.0590 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2710 0.0590 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.3720 0.2980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00097 ABOCATH N 14 A 22 UN 3.7700 3.7660 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.7890 0.8810 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2490 0.0510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 0.9820 0.2180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.2721 1.1379 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.2721 1.1379 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5370 0.4630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.8970 0.7730 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4628 0.0172 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4628 0.0172 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 25030019 Distúrbios Circulatórios Artério - Venosos e Linfáticos 22.9200 6.5500 16.3700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 32050038 RX Tórax: P. A. 15.7500 9.0010 6.7490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 32050038 RX Tórax: P. A. 15.7500 9.0010 6.7490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.6155 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00743 OXACILINA 500 MG + DIL. 3 ML PO IM IV FA 9.0800 9.0795 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 0.9559 1.5941 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.3176 1.2724 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.4730 0.5270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.4730 0.5270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00111 ABOCATH N 14 A 22 UN 3.7700 0.7536 3.0164 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 02355 AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML 36.4700 36.4650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 02355 AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML 36.4700 36.4650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 02355 AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML 36.4700 36.4650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 02355 AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML 36.4700 36.4650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 02355 AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML 36.4700 36.4650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 02355 AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML 36.4700 36.4650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51660 BROMETO DE IPRATROPIO SL IN GT 2.4000 0.0000 2.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.3110 0.3090 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.6550 0.1550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3230 0.0770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00069 SERINGA DESC 10 ML UN 0.3300 0.1732 0.1568 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00069 SERINGA DESC 10 ML UN 0.3300 0.1732 0.1568 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00069 SERINGA DESC 10 ML UN 0.3300 0.1732 0.1568 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.3800 0.3076 0.0724 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00031 AGULHA DESC 13 X 45 UN 0.3800 0.3076 0.0724 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.1900 0.1538 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.1900 0.1538 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.1900 0.1538 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.1900 0.1538 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.1900 0.1538 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1300 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1300 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 1.0800 1.0600 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0280 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4027 0.1873 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4037 0.1863 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1300 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 00097 ABOCATH N 14 A 22 UN 3.7700 3.7665 0.0035 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6000 0.4000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6100 0.3900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 09b825abc9ef518ba223f29f2bf7c07b WALDEMAR NULL NULL 12171249749 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 09b825abc9ef518ba223f29f2bf7c07b WALDEMAR NULL NULL 12171249749 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 51660 BROMETO DE IPRATROPIO SL IN GT 2.8000 0.0000 2.8000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3690 0.1110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3690 0.1110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3850 0.0950 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 24481 MOXIFLOXACINO 1,6 MG/ML 250 ML SI IV BS 129.8500 129.8467 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 24481 MOXIFLOXACINO 1,6 MG/ML 250 ML SI IV BS 129.8500 129.8467 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.7140 0.9560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.4300 0.5700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0120 0.0180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.5500 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.5600 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51163 AGUA BIDESTILADA 250 ML 5.7900 4.8200 0.9700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51163 AGUA BIDESTILADA 250 ML 5.7900 4.8300 0.9600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.8000 1.7960 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.2060 0.3040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2100 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2100 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2100 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2200 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.1110 0.5590 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1310 0.1690 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1310 0.1690 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.9737 0.3063 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.9800 0.9700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.9800 0.9700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51660 BROMETO DE IPRATROPIO SL IN GT 2.4000 0.0600 2.3400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0200 0.7800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0200 0.7800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0200 0.7800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0300 0.7700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2080 0.5220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2080 0.5220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 52386 CLORETO DE SODIO 20% 10 ML SI IV AP 1.1000 1.0958 0.0042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 13.2000 13.1950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 2.5637 0.2663 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 2.5637 0.2663 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 2.5637 0.2663 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 2.5637 0.2663 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8253 0.1347 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8253 0.1347 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2150 0.3150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2150 0.3150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2150 0.3150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2150 0.3150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2290 0.3010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 2.7500 2.4121 0.3379 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 1.3700 1.2016 0.1684 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3476 0.0524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 20.4500 10.2209 10.2291 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 7.9200 6.5520 1.3680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 2.1840 0.4560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 2.1840 0.4560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 2.1840 0.4560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 2.1840 0.4560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 2.1840 0.4560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51584 ESPARADRAPO MICROPORE 0.2600 0.1970 0.0630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51584 ESPARADRAPO MICROPORE 0.2600 0.1970 0.0630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51584 ESPARADRAPO MICROPORE 0.2600 0.1970 0.0630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3330 0.0670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3330 0.0670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4524 0.1376 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4524 0.1376 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4524 0.1376 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00558 LAMINA BISTURI N 20, 22 E 24 UN 0.6700 0.4392 0.2308 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00124 LUVA CIRURGICA UN 1.4500 0.6206 0.8294 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00124 LUVA CIRURGICA UN 1.4500 0.6206 0.8294 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00124 LUVA CIRURGICA UN 1.4500 0.6206 0.8294 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00124 LUVA CIRURGICA UN 1.4500 0.6206 0.8294 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1320 0.3980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1320 0.3980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8320 0.1680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1778 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.3719 0.2181 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.3719 0.2181 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.3719 0.2181 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.3719 0.2181 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.5590 0.1110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.9400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1780 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1780 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5013 0.0887 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00125 LUVA CIRURGICA UN 1.4500 1.2665 0.1835 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00124 LUVA CIRURGICA UN 1.4500 1.2665 0.1835 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00124 LUVA CIRURGICA UN 1.4500 1.2665 0.1835 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00124 LUVA CIRURGICA UN 1.4500 1.2665 0.1835 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0400 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.3670 0.1630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.1339 2.2761 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.1339 2.2761 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.1339 2.2761 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.1339 2.2761 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00124 LUVA CIRURGICA UN 1.4500 1.2062 0.2438 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00124 LUVA CIRURGICA UN 1.4500 1.2062 0.2438 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00124 LUVA CIRURGICA UN 1.4500 1.2062 0.2438 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3722 0.0278 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 54687 IODOPOVIDONA SD TP ML 0.4000 0.2400 0.1600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8242 0.1358 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8242 0.1358 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8244 0.1356 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 2.6900 2.6810 0.0090 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0800 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0800 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0800 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00069 SERINGA DESC 10 ML UN 0.3300 0.2533 0.0767 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00124 LUVA CIRURGICA UN 1.4500 1.4400 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 41.9800 41.9770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 20.9900 20.9885 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 20.9900 20.9885 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5900 0.4100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2300 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 1.2746 1.2754 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1200 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1300 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1300 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1300 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0500 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0600 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0600 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0600 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0600 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00069 SERINGA DESC 10 ML UN 0.3300 0.2629 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00069 SERINGA DESC 10 ML UN 0.3300 0.2629 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00124 LUVA CIRURGICA UN 1.4500 1.0856 0.3644 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0f992b408cbd27a95de887ea229c0b26 JORGINA NULL NULL 12321704643 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.4800 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2199 0.1801 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51589 ESPARADRAPO 10 X 4.5 CM CM 0.2000 0.1530 0.0470 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8340 0.1660 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0600 0.0440 0.0160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00090 SERINGA DESC 20 ML UN 0.5400 0.1560 0.3840 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.3520 0.2380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.3520 0.2380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.3200 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.3200 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0800 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 03280 CLOREXIDINA 2 % ST TP ML 0.2700 0.2660 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6940 0.3060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.4700 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51660 BROMETO DE IPRATROPIO SL IN GT 0.6000 0.0000 0.6000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8095 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8095 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 000501 OXIGENIO 17.8500 14.2730 3.5770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00348 DIPIRONA 500 MG CP VO UN 0.5400 0.4100 0.1300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00348 DIPIRONA 500 MG CP VO UN 0.5400 0.4200 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1288 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.9000 0.6510 0.2490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.9850 0.2950 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 2.7669 1.8431 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00124 LUVA CIRURGICA UN 8.6900 7.2374 1.4526 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 02246 HIDROCORTISONA 100 MG PO IM IV FA 8.5000 3.2517 5.2483 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 02246 HIDROCORTISONA 100 MG PO IM IV FA 8.5000 3.2517 5.2483 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.0826 1.7474 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 10.6300 2.9000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 10.6300 2.9000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 10.6400 2.8900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51662 Simeticona frasco c/15 ml 1.0500 0.9500 0.1000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51662 Simeticona frasco c/15 ml 1.0500 0.9600 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51662 Simeticona frasco c/15 ml 1.0500 0.9600 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 01296 MORFINA 0,2 MG 1 ML SI IT IV PE AP 4.1400 3.3150 0.8250 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.7612 1.1788 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.3035 0.5765 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.3035 0.5765 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1570 0.2430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1570 0.2430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1570 0.2430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0130 0.0170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0130 0.0170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0130 0.0170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7963 0.1637 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5730 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.5100 0.4070 0.1030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.5100 0.4070 0.1030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.5100 0.4070 0.1030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.2600 0.2070 0.0530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2153 0.2347 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 f685e09d052377a3e37cdc0156d85f6f LIA NULL NULL 12325737230 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320508342 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8b09750a6d2390cf2ffd5dd76799599a IVON NULL NULL 12292121344 34010130 TOMOGRAFIA COMPUTADORIZADA DO TORAX 0.0000 280.6875 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 27596 TIRA TESTE PARA GLICOSE UN 0.0000 2.5876 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12234060246 33227 LUVA CIRURGICA UN 0.0000 1.4475 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 11304 HIDROCORTISONA 500 MG PO IM IV FA 0.0000 6.3472 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 29840 ETOMIDATO 2 MG/ML 10 ML SI IV AP 0.0000 16.1771 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 20.2784 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 55107 MORFINA 0,2 MG 1 ML SI IV PE IT FR 0.0000 8.2890 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 19763 SONDA FOLEY 2 VIAS Nş 16 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8c6a67a46a9b7171eab5ccc5499b0d9d ANELITA NULL NULL 12255137334 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255214219 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 53071de02068cd2c46a3a2b159420691 SUELY NULL NULL 12277690415 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 9dbb8f82efe7a16aa84c856804bd479e SEBASTIAO NULL NULL 12255432719 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 985f5fd48cc7028f8c508797b43eda83 RAIMUNDA NULL NULL 12270725715 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 fe9114009dde775e89de4a93e295146e PAULO NULL NULL 12343592211 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283007019 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 b753673d69e9d35ee2701bc3a850fb18 NORMA NULL NULL 12322686915 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 8b86d72dcabea79cbdc34f6e5fadd044 MICHELL NULL NULL 12309727718 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 484573cde1aef1fe37db3798ee4facc5 MARIA NULL NULL 12282568115 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1910 0.1090 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1940 0.1060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00069 SERINGA DESC 10 ML UN 0.3300 0.2437 0.0863 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00069 SERINGA DESC 10 ML UN 0.3300 0.2437 0.0863 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00128 LUVA DE PROCEDIMENTO UNIDADE UN 3.3300 1.6600 1.6700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5000 0.5000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0000 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00090 SERINGA DESC 20 ML UN 0.5400 0.4930 0.0470 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00090 SERINGA DESC 20 ML UN 0.5400 0.4930 0.0470 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00124 LUVA CIRURGICA UN 4.3400 1.1830 3.1570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 25040014 Fisioterapia Respiratória - em Doente Clínico Internado 24.5600 18.8900 5.6700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 25040014 Fisioterapia Respiratória - em Doente Clínico Internado 24.5600 18.9000 5.6600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 25030019 Distúrbios Circulatórios Artério - Venosos e Linfáticos 22.9200 17.6312 5.2888 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 25030019 Distúrbios Circulatórios Artério - Venosos e Linfáticos 22.9200 17.6312 5.2888 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 25030019 Distúrbios Circulatórios Artério - Venosos e Linfáticos 11.4600 8.8160 2.6440 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 3.5502 0.3898 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 3.5502 0.3898 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00991 ESPIRONOLACTONA 25 MG CP VO UN 0.4800 0.3800 0.1000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 01400 ALPRAZOLAM 0,5 MG CP VO UN 1.4100 1.1600 0.2500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 01400 ALPRAZOLAM 0,5 MG CP VO UN 0.9400 0.7700 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 1.6200 1.6155 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8093 0.0007 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00735 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 27.0600 13.5304 13.5296 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1782 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 18110 Levotiroxina 50mcg Cp. 0.4000 0.2000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 04938 LOSARTANA 50 MG CP VO UN 1.3300 1.0600 0.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 0.8600 0.8700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 0.8700 0.8600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 51241 AGULHA 123X45 0.1900 0.0106 0.1794 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.1171 0.4729 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.1171 0.4729 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 eff08749d885c5abdbd269091d7c9873 WILSON NULL NULL 12297485331 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12252609736 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 72c33ead971af5baf1eca656499a45a0 TEREZA NULL NULL 12184732933 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 72c33ead971af5baf1eca656499a45a0 TEREZA NULL NULL 12184732933 33227 LUVA CIRURGICA UN 0.0000 1.4475 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 753c84e1fe71f9a70b9b36d18828ba40 SUZANE NULL NULL 12297996332 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 753c84e1fe71f9a70b9b36d18828ba40 SUZANE NULL NULL 12297996332 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 268049a93bd6b26b4f5b79b2e6ede297 SALVINA NULL NULL 12187025148 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dc0262e6d5010acfe6a18c66d0d30ed3 OSMIDA NULL NULL 12264720947 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dc0262e6d5010acfe6a18c66d0d30ed3 OSMIDA NULL NULL 12264720947 33227 LUVA CIRURGICA UN 0.0000 1.4475 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12219054932 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 be3a00aea8414caa2481fbd5acdbea6d MARTA NULL NULL 12223656239 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 bcaf52a172d225b74745a133f1a88ade MARIANA NULL NULL 12267218032 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7412 0.0688 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7412 0.0688 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP 85.4700 82.0520 3.4180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2300 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 00124 LUVA CIRURGICA UN 1.4500 1.4488 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 51584 ESPARADRAPO MICROPORE 0.7700 0.2790 0.4910 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.6400 0.2330 0.4070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1100 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00097 ABOCATH N 14 A 22 UN 7.5300 7.5246 0.0054 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6190 0.3810 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3702 0.4398 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.8551 0.0749 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51590 ABAIXADOR DE LINGUA UN 0.0300 0.0258 0.0042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2760 0.1240 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2800 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.4190 0.2510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.4190 0.2510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4420 0.1580 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2210 0.0790 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51241 AGULHA 123X45 0.3800 0.0000 0.3800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00090 SERINGA DESC 20 ML UN 0.5400 0.4900 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00090 SERINGA DESC 20 ML UN 0.5400 0.4900 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 1.1896 0.0904 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1880 0.0720 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1880 0.0720 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1890 0.0710 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0930 0.0070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0930 0.0070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 55019 CATETER BALAO P/ ANGIOPLASTIA CORONARIA 1380.0000 985.7200 394.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00170 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.3984 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.3203 0.9597 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 51419 FILTRO DE BARREIRA 24.0000 12.0000 12.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5350 0.4650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5350 0.4650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12254218741 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2290 0.1010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 5.8400 5.8380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8180 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1885 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1885 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1885 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.9200 1.3706 0.5494 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.6853 0.2747 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.6853 0.2747 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3426 0.1374 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.5140 0.0160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51660 BROMETO DE IPRATROPIO SL IN GT 3.2000 0.0000 3.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4085 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4085 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254419131 00069 SERINGA DESC 10 ML UN 0.6700 0.6663 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 93ab10613d6a84b2e98ec68d66f5f061 LEOVEGILDO NULL NULL 12184124349 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0256 0.0244 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 93ab10613d6a84b2e98ec68d66f5f061 LEOVEGILDO NULL NULL 12184124349 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 93ab10613d6a84b2e98ec68d66f5f061 LEOVEGILDO NULL NULL 12184124349 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3600 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 93ab10613d6a84b2e98ec68d66f5f061 LEOVEGILDO NULL NULL 12184124349 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3600 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12217705730 00098 ABOCATH N 14 A 22 UN 3.7700 3.7663 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 54d59bca98bdfc6e3183f3c58c8080a2 ELIABY NULL NULL 12220882236 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 f75b8a3ca92d2c95e65d2fff98be2d29 FRANCISCO NULL NULL 12270769836 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 f75b8a3ca92d2c95e65d2fff98be2d29 FRANCISCO NULL NULL 12270769836 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12183280231 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12183280231 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12183280231 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12217705730 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12217705730 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.0000 0.5987 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 32905 EQUIPO POLIFIX 4ş VIAS UN 0.0000 10.1968 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 19119 SERINGA DESC 01 ML (INSULINA) UN 0.0000 0.3074 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 19763 SONDA FOLEY 2 VIAS Nş 16 UN 0.0000 3.8174 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5c8ab2d370e46d473148b3824dded22f LINI NULL NULL 12159460648 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 73e4a44f4d56fac95aed807cb569d25b MARIO NULL NULL 12268522644 58750 AGULHA P/ PUNÇAO PERCUTANEA UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 40.5900 7.3800 33.2100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51508 ENCRISE (ARGIPRESSINA) 20 U/ML 1 ML SI IM IV SC AP 0.0000 40.2400 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51508 ENCRISE (ARGIPRESSINA) 20 U/ML 1 ML SI IM IV SC AP 0.0000 40.2400 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51379 SERINGA DESC 05 ML UN 0.0000 0.5100 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51208 SORO RINGER SIMPLES 500 ML SI IV BS 0.0000 11.8766 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.7224 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.7224 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.7224 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.3567 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.3567 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.3567 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.3567 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.3567 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.3567 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.3607 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 04242 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 0.0000 3.2509 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51241 AGULHA 123X45 0.1900 0.0500 0.1400 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51378 SERINGA DESC 03 ML UN 0.1500 0.0390 0.1110 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51378 SERINGA DESC 03 ML UN 0.1500 0.0390 0.1110 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51378 SERINGA DESC 03 ML UN 0.1500 0.0390 0.1110 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0260 0.0740 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0260 0.0740 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0260 0.0740 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0260 0.0740 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0360 0.0640 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00564 ATROPINA 0,25 MG SI IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51649 ALCOOL ETILICO 70 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51649 ALCOOL ETILICO 70 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00211 ESCOPOLAMINA 20 MG/ML 1 ML SI IM IV SC AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00204 AAS (ACIDO ACETILSALICILICO) 100 MG CP VO UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 03280 CLOREXIDINA 2 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 03280 CLOREXIDINA 2 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 03280 CLOREXIDINA 2 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 03280 CLOREXIDINA 2 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 55968 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51673 ALGINATO DE CALCIO EM HIDROGEL GL TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00170 SORO GLICOSADO 5% 250 ML SI IV BS NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 15010023 Hemodiálise (Por Sessão) NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 25040014 ASSISTENCIA FISIATRICA RESPIRATORIA 24.5600 0.0000 24.5600 NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 25030019 DISTURBIOS CIRCULATORIOS ARTERIO VE 22.9200 0.0000 22.9200 NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 2.4600 11.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 2.4600 11.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 2.4600 11.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 2.4600 11.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 2.4600 11.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 2.4600 11.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51662 Simeticona frasco c/15 ml 1.0500 1.0100 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51662 Simeticona frasco c/15 ml 1.0500 1.0100 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51662 Simeticona frasco c/15 ml 1.0500 1.0200 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51662 Simeticona frasco c/15 ml 1.0500 1.0200 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51662 Simeticona frasco c/15 ml 1.0500 1.0200 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51662 Simeticona frasco c/15 ml 1.0500 1.0200 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51662 Simeticona frasco c/15 ml 0.9000 0.8800 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.5096 1.4304 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.5096 1.4304 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.5096 1.4304 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.7485 0.1315 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.7485 0.1315 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.7485 0.1315 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3476 0.0524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3476 0.0524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3476 0.0524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3476 0.0524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3670 0.2330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3670 0.2330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1830 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1830 0.1170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 1.0249 0.2551 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 1.0249 0.2551 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.4000 0.1100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.4000 0.1100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 1.0000 0.8979 0.1021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.3719 0.2181 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2500 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248313941 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.5930 0.0770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248313941 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248313941 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7836 0.0264 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3869 0.0131 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3869 0.0131 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 54687 IODOPOVIDONA SD TP ML 0.4000 0.3400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 54687 IODOPOVIDONA SD TP ML 0.4000 0.3400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 54653 DERSANI LC TP ML 19.4000 5.8200 13.5800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7041 1.7059 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5065 0.0935 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5065 0.0935 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5065 0.0935 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2540 0.2560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 3.4580 1.1520 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51584 ESPARADRAPO MICROPORE 0.5100 0.3030 0.2070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51584 ESPARADRAPO MICROPORE 0.2600 0.1540 0.1060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2100 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00943 EQUIPO POLIFIX 2 VIAS UN 5.1000 2.1850 2.9150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.6400 0.5948 0.0452 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2974 0.0226 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.1430 0.5270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6840 0.3160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2250 0.1050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1540 0.0260 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1540 0.0260 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1540 0.0260 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1610 0.0190 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51379 SERINGA DESC 05 ML UN 0.1900 0.0274 0.1626 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51379 SERINGA DESC 05 ML UN 0.1900 0.0274 0.1626 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51379 SERINGA DESC 05 ML UN 0.1900 0.0274 0.1626 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51379 SERINGA DESC 05 ML UN 0.1900 0.0274 0.1626 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51379 SERINGA DESC 05 ML UN 0.1900 0.0274 0.1626 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51379 SERINGA DESC 05 ML UN 0.1900 0.0276 0.1624 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00090 SERINGA DESC 20 ML UN 0.5400 0.5080 0.0320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00090 SERINGA DESC 20 ML UN 0.5400 0.5080 0.0320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00090 SERINGA DESC 20 ML UN 0.5400 0.5080 0.0320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00090 SERINGA DESC 20 ML UN 0.5400 0.5080 0.0320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1700 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.1719 0.5181 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 54653 DERSANI LC TP ML 19.4000 3.9700 15.4300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 54653 DERSANI LC TP ML 19.4000 3.9700 15.4300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4083 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.8931 0.0369 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.8931 0.0369 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 0.9300 0.8931 0.0369 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51584 ESPARADRAPO MICROPORE 0.7700 0.7670 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51584 ESPARADRAPO MICROPORE 0.7700 0.7670 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51584 ESPARADRAPO MICROPORE 0.7700 0.7670 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51584 ESPARADRAPO MICROPORE 0.2600 0.2590 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5990 0.4010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 54687 IODOPOVIDONA SD TP ML 0.4000 0.1600 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4875 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 7.5000 4.3600 3.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 3.7500 2.1800 1.5700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 3.7500 2.1800 1.5700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51584 ESPARADRAPO MICROPORE 0.2600 0.1920 0.0680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.9200 1.1040 0.8160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2760 0.2040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2760 0.2040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2760 0.2040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2760 0.2040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2768 0.2032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 1.0200 0.0000 1.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51475 FUMARATO DE QUETIAPINA 25 MG CA VO UN 1.2500 1.2471 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51475 FUMARATO DE QUETIAPINA 25 MG CA VO UN 1.2500 1.2471 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51475 FUMARATO DE QUETIAPINA 25 MG CA VO UN 1.2500 1.2471 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8095 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8095 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3997 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3997 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3400 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3400 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3400 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3400 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3420 0.1380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 02252 METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL 15.2800 15.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 02252 METILPREDNISOLONA (SUCCINATO SODICO) 125 MG + DIL 15.2800 15.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 32050054 RX Tórax: P. A. - Lat 20.2100 10.1052 10.1048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 5.9643 0.8557 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3000 0.1000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7490 0.2510 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.9000 0.1680 0.7320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.0580 0.2420 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1323 0.0477 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1920 0.0680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.2100 0.1400 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0600 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0600 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7963 0.1637 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3981 0.0819 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2840 0.2460 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.0200 0.7100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.0200 0.7100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.0200 0.7100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.2600 0.2070 0.0530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2400 0.1600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.2840 0.7160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.2840 0.7160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4800 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.0107 0.5793 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.0107 0.5793 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1175 0.0625 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 1.5295 1.0205 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1527 0.0373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51379 SERINGA DESC 05 ML UN 0.1900 0.1556 0.0344 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00090 SERINGA DESC 20 ML UN 0.5400 0.2090 0.3310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00090 SERINGA DESC 20 ML UN 0.5400 0.2090 0.3310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00090 SERINGA DESC 20 ML UN 0.5400 0.2090 0.3310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00090 SERINGA DESC 20 ML UN 0.5400 0.2090 0.3310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2459 0.0641 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 09733 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 09733 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 21245 TIAMAZOL 5 MG CP VO UN 0.5000 0.4989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 31828 PREDNISONA 20 MG CP VO UN 0.7500 0.7480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 31828 PREDNISONA 20 MG CP VO UN 0.7500 0.7480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 31828 PREDNISONA 20 MG CP VO UN 0.7500 0.7480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 10944 HALOPERIDOL 1 MG CP VO UN 0.2200 0.2160 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 09b825abc9ef518ba223f29f2bf7c07b WALDEMAR NULL NULL 12171249749 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.2560 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283876047 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283876047 19160 SERINGA DESC 20 ML UN 0.0000 0.5380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 33227 LUVA CIRURGICA UN 0.0000 1.4475 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 f685e09d052377a3e37cdc0156d85f6f LIA NULL NULL 12325737230 19160 SERINGA DESC 20 ML UN 0.0000 0.5380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.0000 0.5987 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222598130 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 20885 SUFENTANILA 50 MCG/ML 1 ML SI IV P 0.0000 19.1586 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12298179619 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 cf98c31c08ddc2665d7f922885af0f8b MARIA NULL NULL 12309535218 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 4816a164435c6f4efe2227852446adc6 MARIA NULL NULL 12277760411 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 b8c50bd9125f5fb28dc5ea343d7ad961 LUIZ NULL NULL 12311176412 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 7026cd42df1f5ae38787406e28d6ef7b LEONARDO NULL NULL 12295522113 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 7d82518fd6d51c8f99e952aadd8ceb8c LAFAIETE NULL NULL 12287346915 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 642bbecf1186fd10e4b3753ccfdbdaad JOAO NULL NULL 12343541713 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 679bafba1e46e48177b69c2d8cb34c73 JOANA NULL NULL 12332086513 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 afb55c8be5f6cc50fb22f7a5aa0cd72f JACQUELINE NULL NULL 12263340611 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 05b1f0e1319ebc19385e39a443384241 JACOB NULL NULL 12266766613 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 10fb1e787af431a514f6b278f126fc49 IRENE NULL NULL 12279886412 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 b25568ae828c50bb8bf82eef84d0a78d ILMA NULL NULL 12255411218 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 d0386b7fdef704aa152a8446b8ed9c0e HELCIO NULL NULL 12277316215 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 b4b31f4ee2bbd9ae7cefdbb58f72cc96 ELDER NULL NULL 12276740316 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 f1952bb71b8a5b6cade392a99e5b5c81 EDITH NULL NULL 12262410112 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 dc8a3df38466a4c4af2bb3adada44855 DIVINA NULL NULL 12276746516 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 df1d5782e34f65cd45876ed9c39091a6 DAGUIMAR NULL NULL 12329605516 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 42ed8324eb1067bc545d53d7ff5594e4 CINIRA NULL NULL 12309921018 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 8eb53d1ec209efc9e741f4d132fb1ed8 CARLOS NULL NULL 12254998016 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 3808855fc999650889a90e79c5a27ac3 ANNA NULL NULL 12312523219 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 2e9001565e968081eb6c492f437e27ee ANA NULL NULL 12308892815 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12261773339 19151 SERINGA DESC 10 ML UN 0.0000 0.6662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 51c1cd7bf95e67c465e8eac45d6e828c JAQUELLINY NULL NULL 12254454032 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259333639 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259333639 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259333639 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 855b5eec2465ffe6bde8bad4f7ccdc93 ANDREIA NULL NULL 12321680935 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 855b5eec2465ffe6bde8bad4f7ccdc93 ANDREIA NULL NULL 12321680935 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d71f6961e3a28cee1dfd231f9d4a6f96 ISABELLA NULL NULL 12312539934 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d71f6961e3a28cee1dfd231f9d4a6f96 ISABELLA NULL NULL 12312539934 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d71f6961e3a28cee1dfd231f9d4a6f96 ISABELLA NULL NULL 12312539934 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 678dc839842340e927568125f89b2f2a HELIO NULL NULL 12336444836 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 678dc839842340e927568125f89b2f2a HELIO NULL NULL 12336444836 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 678dc839842340e927568125f89b2f2a HELIO NULL NULL 12336444836 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283867638 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281439230 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281439230 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51660 BROMETO DE IPRATROPIO SL IN GT 0.0400 0.0000 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2820 0.1180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.2820 0.1180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.4786 0.9314 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.4786 0.9314 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51584 ESPARADRAPO MICROPORE 0.5100 0.3130 0.1970 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.3078 0.1022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.3078 0.1022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.3078 0.1022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5131 0.0869 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5131 0.0869 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5131 0.0869 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0455 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0455 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.3900 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 16.2227 4.0573 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 16.2227 4.0573 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 16.2227 4.0573 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51379 SERINGA DESC 05 ML UN 0.1900 0.1774 0.0126 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51379 SERINGA DESC 05 ML UN 0.1900 0.1774 0.0126 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51379 SERINGA DESC 05 ML UN 0.1900 0.1774 0.0126 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51379 SERINGA DESC 05 ML UN 0.1900 0.1774 0.0126 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51379 SERINGA DESC 05 ML UN 0.1900 0.1774 0.0126 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51379 SERINGA DESC 05 ML UN 0.1900 0.1774 0.0126 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51378 SERINGA DESC 03 ML UN 0.1500 0.1460 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5150 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5150 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5150 0.0750 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2150 0.2950 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0945 0.0055 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12254155740 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.4990 0.5010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 268049a93bd6b26b4f5b79b2e6ede297 SALVINA NULL NULL 12187025148 03280 CLOREXIDINA 2 % ST TP ML 1.0600 0.8250 0.2350 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 268049a93bd6b26b4f5b79b2e6ede297 SALVINA NULL NULL 12187025148 03280 CLOREXIDINA 2 % ST TP ML 0.8000 0.6230 0.1770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 268049a93bd6b26b4f5b79b2e6ede297 SALVINA NULL NULL 12187025148 03280 CLOREXIDINA 2 % ST TP ML 0.8000 0.6230 0.1770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 268049a93bd6b26b4f5b79b2e6ede297 SALVINA NULL NULL 12187025148 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.4160 0.1140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 268049a93bd6b26b4f5b79b2e6ede297 SALVINA NULL NULL 12187025148 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 0.0000 4.7300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.4760 0.1240 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2400 0.0600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 09070 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1063 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 00128 LUVA DE PROCEDIMENTO UNIDADE UN 6.6600 1.3770 5.2830 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.2090 0.7910 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.7945 0.7955 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 0.0000 2.5500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 33585f5e15467c7bdd39860a4999d750 URIAS NULL NULL 12255247944 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2580 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cfec8246cb6dd6b0209430096d4acc2e ZILDA NULL NULL 12216841040 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2560 0.1440 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cfec8246cb6dd6b0209430096d4acc2e ZILDA NULL NULL 12216841040 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.1700 0.0790 0.0910 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.0581 0.4219 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1060 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.1174 0.4726 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.4216 0.3884 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.4216 0.3884 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.4216 0.3884 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51514 ATORVASTATINA CALCICA 40 MG CP VO UN 6.1800 3.4700 2.7100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51514 ATORVASTATINA CALCICA 40 MG CP VO UN 6.1800 3.4800 2.7000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51590 ABAIXADOR DE LINGUA UN 0.0300 0.0224 0.0076 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51584 ESPARADRAPO MICROPORE 0.2600 0.1990 0.0610 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f30234755d3a5cb6bb790e35e1dee0b0 MARILENE NULL NULL 12247587244 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 25040014 ASSISTENCIA FISIATRICA RESPIRATORIA 0.0000 85.9740 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 73e4a44f4d56fac95aed807cb569d25b MARIO NULL NULL 12268522644 29700 HENETIX (IOBITRIDOL) 300 MG/ML SI 0.0000 215.7000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 5c8ab2d370e46d473148b3824dded22f LINI NULL NULL 12159460648 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 20.2784 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254419131 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254419131 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 32905 EQUIPO POLIFIX 4ş VIAS UN 0.0000 5.0984 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d4dbfd05ca467c79165606fc7735e38f MARIA NULL NULL 12312451147 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d4dbfd05ca467c79165606fc7735e38f MARIA NULL NULL 12312451147 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 644149ebf2a2c69f938aa1ae22f5ef7f MARIA NULL NULL 12185221839 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 644149ebf2a2c69f938aa1ae22f5ef7f MARIA NULL NULL 12185221839 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 07463 DOPAMINA 5 MG/ML 10 ML SI IV AP 0.0000 2.4758 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12217705730 20672 SORO RINGER SIMPLES 500 ML SI IV 0.0000 11.8766 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12217705730 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12183280231 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 4e13adf421809cb755e1bdd80cc4efed AGRIPINA NULL NULL 12325730131 00069 SERINGA DESC 10 ML UN 0.6700 0.6661 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 31550 PREDNISONA 5 MG CP VO UN 0.3600 0.3570 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7781a83504beb0f6fc1c86041782e8a1 ELODY NULL NULL 12320802443 09733 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12254218741 12262 ISOSSORBIDA 20 MG CP VO UN 0.4300 0.4232 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 12262 ISOSSORBIDA 20 MG CP VO UN 0.2200 0.2158 0.0042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 f75b8a3ca92d2c95e65d2fff98be2d29 FRANCISCO NULL NULL 12270769836 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 54d59bca98bdfc6e3183f3c58c8080a2 ELIABY NULL NULL 12220882236 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 93ab10613d6a84b2e98ec68d66f5f061 LEOVEGILDO NULL NULL 12184124349 20010010 Eletrocardiograma - Ecg 16.5300 8.2600 8.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248305538 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1790 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 54d59bca98bdfc6e3183f3c58c8080a2 ELIABY NULL NULL 12325813637 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 54d59bca98bdfc6e3183f3c58c8080a2 ELIABY NULL NULL 12325813637 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4088 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 54d59bca98bdfc6e3183f3c58c8080a2 ELIABY NULL NULL 12325813637 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1882 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4085 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4085 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4085 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4085 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51660 BROMETO DE IPRATROPIO SL IN GT 3.2000 0.0000 3.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3426 0.1374 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3426 0.1374 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3426 0.1374 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.6853 0.2747 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.9200 1.3706 0.5494 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.9200 1.3706 0.5494 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4090 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1885 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8180 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 5.8400 5.8380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12254218741 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.3100 0.3055 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12254218741 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12254218741 51584 ESPARADRAPO MICROPORE 0.2600 0.2580 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12254218741 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.5100 0.5070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12254218741 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dee5a0d03c4673fe8898c0a0fff00916 ANA NULL NULL 12276505648 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.0520 0.3480 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.5000 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.3203 0.9597 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.4200 0.3100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.4200 0.3100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0930 0.0070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4157 0.1743 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2210 0.0790 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2760 0.1240 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 1.8700 1.7194 0.1506 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51163 AGUA BIDESTILADA 250 ML 5.7900 3.8580 1.9320 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.3702 0.4398 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 000501 OXIGENIO 32.7300 26.5440 6.1860 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 52392 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALVULA UN 2.4900 2.2977 0.1923 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00124 LUVA CIRURGICA UN 1.4500 1.3700 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.9600 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8077 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.4230 0.2470 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6190 0.3810 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1100 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 00124 LUVA CIRURGICA UN 1.4500 1.4490 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2300 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 51584 ESPARADRAPO MICROPORE 0.2600 0.2570 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 51584 ESPARADRAPO MICROPORE 0.2600 0.2570 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 51584 ESPARADRAPO MICROPORE 0.7700 0.7610 0.0090 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP 75.9700 72.9319 3.0381 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3660 0.0340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 bcaf52a172d225b74745a133f1a88ade MARIANA NULL NULL 12267218032 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 bcaf52a172d225b74745a133f1a88ade MARIANA NULL NULL 12267218032 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 be3a00aea8414caa2481fbd5acdbea6d MARTA NULL NULL 12223656239 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 be3a00aea8414caa2481fbd5acdbea6d MARTA NULL NULL 12223656239 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222597035 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234617838 11290 HIDROCORTISONA 100 MG PO IM IV FA 0.0000 5.6696 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234617838 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12219054932 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235281439 33227 LUVA CIRURGICA UN 0.0000 1.4475 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235281439 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235281439 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.0000 0.6863 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dc0262e6d5010acfe6a18c66d0d30ed3 OSMIDA NULL NULL 12264720947 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 b85c60141d4de3f2910457b0ff9b4eb5 SIMONE NULL NULL 12238458533 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 753c84e1fe71f9a70b9b36d18828ba40 SUZANE NULL NULL 12297996332 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 72c33ead971af5baf1eca656499a45a0 TEREZA NULL NULL 12184732933 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12269071038 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12269071038 00817 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12289578033 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12252609736 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12252609736 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12315497533 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.7680 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 51241 AGULHA 123X45 0.1900 0.0106 0.1794 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 51241 AGULHA 123X45 0.1900 0.0106 0.1794 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 51241 AGULHA 123X45 0.1900 0.0106 0.1794 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 51241 AGULHA 123X45 0.1900 0.0106 0.1794 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6640 0.0060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 0.8600 0.8700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 18110 Levotiroxina 50mcg Cp. 0.4000 0.2000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 18110 Levotiroxina 50mcg Cp. 0.4000 0.2000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1782 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5996 0.0004 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 01611 CLORETO DE POTASSIO 600 MG CA VO UN 0.4900 0.4870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3512 0.0488 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 01400 ALPRAZOLAM 0,5 MG CP VO UN 1.4100 1.1600 0.2500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 3.5502 0.3898 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 3.5502 0.3898 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 25030019 Distúrbios Circulatórios Artério - Venosos e Linfáticos 22.9200 17.6312 5.2888 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 25040014 Fisioterapia Respiratória - em Doente Clínico Internado 24.5600 18.8900 5.6700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dc0262e6d5010acfe6a18c66d0d30ed3 OSMIDA NULL NULL 12264720947 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.3203 0.9597 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00124 LUVA CIRURGICA UN 1.4500 0.3956 1.0544 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00124 LUVA CIRURGICA UN 1.4500 0.3952 1.0548 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00125 LUVA CIRURGICA UN 1.4500 0.3952 1.0548 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00090 SERINGA DESC 20 ML UN 0.5400 0.5020 0.0380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00090 SERINGA DESC 20 ML UN 0.5400 0.4930 0.0470 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00090 SERINGA DESC 20 ML UN 0.5400 0.4930 0.0470 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0000 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.3800 0.0000 0.3800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00069 SERINGA DESC 10 ML UN 0.3300 0.2437 0.0863 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00069 SERINGA DESC 10 ML UN 0.3300 0.2437 0.0863 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00069 SERINGA DESC 10 ML UN 0.3300 0.2437 0.0863 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00069 SERINGA DESC 10 ML UN 0.6700 0.4949 0.1751 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2669 0.0531 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2669 0.0531 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1910 0.1090 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 dd4d956dc601cd748697c192be78566a MARIANA NULL NULL 12336906618 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 f64fa312b396cd9395d0ffdc5b0a7a6d MARTHA NULL NULL 12328161611 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12297451816 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 08654a43ccd9ba0c9a67f92a31667e9a NEUSA NULL NULL 12261874618 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12261623313 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 0fe232e46db54ff8277fc642f98b2041 VILMA NULL NULL 12315104019 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 877d203495b961dbe628d0b7639b2706 WELLESLEY NULL NULL 12309643814 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 35.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1056380 01c86ea9e8701666ebfce68f2b0f03a6 ZELIA NULL NULL 12297998810 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 50.0000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 22128 PARACETAMOL 500 MG + CODEINA 30 MG 0.0000 2.9490 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.0000 1.7961 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 29661 NOREPINEFRINA 2 MG/ML 4 ML SI IV A 0.0000 28.4892 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12234060246 27596 TIRA TESTE PARA GLICOSE UN 0.0000 2.5876 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 27596 TIRA TESTE PARA GLICOSE UN 0.0000 2.5876 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 09091 PROMETAZINA 25 MG/ML 2 ML SI IM IV 0.0000 2.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51977 ERITROPOIETINA 4.000 UI PO IV SC 0.0000 133.8855 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8b09750a6d2390cf2ffd5dd76799599a IVON NULL NULL 12292121344 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320508342 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320508342 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5440 0.4560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320508342 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5440 0.4560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 f685e09d052377a3e37cdc0156d85f6f LIA NULL NULL 12325737230 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00124 LUVA CIRURGICA UN 1.4500 1.2127 0.2373 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00069 SERINGA DESC 10 ML UN 0.3300 0.2577 0.0723 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0817 0.0183 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51584 ESPARADRAPO MICROPORE 0.2600 0.2070 0.0530 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 24234 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 01491 FENITOINA 100 MG CP VO UN 0.3700 0.2880 0.0820 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.4378 1.9722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 09340 LEVOFLOXACINO 5 MG/ML 100 ML SI IV BS 105.6800 105.6771 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.5560 0.1340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7963 0.1637 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7963 0.1637 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0130 0.0170 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1583 0.2417 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1570 0.2430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1570 0.2430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1570 0.2430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1570 0.2430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.1570 0.2430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.3035 0.5765 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.3035 0.5765 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML 2.8800 2.3035 0.5765 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 3.9400 2.7612 1.1788 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00704 MEROPENEM 1G PO IV FA 154.3800 77.1903 77.1897 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00704 MEROPENEM 1G PO IV FA 154.3800 77.1903 77.1897 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.2258 1.6042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 01296 MORFINA 0,2 MG 1 ML SI IT IV PE AP 4.1400 3.3180 0.8220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51662 Simeticona frasco c/15 ml 1.0500 0.9600 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51662 Simeticona frasco c/15 ml 1.0500 0.9600 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51662 Simeticona frasco c/15 ml 2.1000 1.9000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 51662 Simeticona frasco c/15 ml 2.1000 1.9000 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283876047 51584 ESPARADRAPO MICROPORE 1.5400 1.5290 0.0110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5416adc7c59c764b1cc03399edf59a83 ORIVALDA NULL NULL 12241456540 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.0826 1.7474 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.0826 1.7474 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 1.0826 1.7474 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 02246 HIDROCORTISONA 100 MG PO IM IV FA 5.6700 2.1691 3.5009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 02246 HIDROCORTISONA 100 MG PO IM IV FA 8.5000 3.2517 5.2483 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 02246 HIDROCORTISONA 100 MG PO IM IV FA 8.5000 3.2517 5.2483 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 02246 HIDROCORTISONA 100 MG PO IM IV FA 8.5000 3.2517 5.2483 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00124 LUVA CIRURGICA UN 1.4500 1.2076 0.2424 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.1178 0.4722 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 51241 AGULHA 123X45 0.5800 0.2401 0.3399 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5630 0.4370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.9310 0.7390 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00128 LUVA DE PROCEDIMENTO UNIDADE UN 3.3300 1.8570 1.4730 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0170 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00220 ELETRODO DESCARTAVEL (UTI) UN 4.6100 2.7669 1.8431 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0300 0.0210 0.0090 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 51584 ESPARADRAPO MICROPORE 0.2600 0.0016 0.2584 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 2.5600 0.0158 2.5442 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.4400 0.8242 0.6158 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 51649 ALCOOL ETILICO 70 % ST TP ML 0.6000 0.5500 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00348 DIPIRONA 500 MG CP VO UN 0.5400 0.4200 0.1200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 51660 BROMETO DE IPRATROPIO SL IN GT 2.8000 0.0000 2.8000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2500 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2500 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 00097 ABOCATH N 14 A 22 UN 3.7700 3.7665 0.0035 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 03280 CLOREXIDINA 2 % ST TP ML 0.2700 0.2660 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.3560 0.2340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.3520 0.2380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.3520 0.2380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00090 SERINGA DESC 20 ML UN 0.5400 0.1560 0.3840 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00090 SERINGA DESC 20 ML UN 0.5400 0.1560 0.3840 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.3930 0.2070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.9000 0.5900 0.3100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.3870 0.2830 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0384 0.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0384 0.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.4453 0.3647 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 9.4700 7.8963 1.5737 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 51163 AGUA BIDESTILADA 250 ML 5.7900 4.6300 1.1600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0f992b408cbd27a95de887ea229c0b26 JORGINA NULL NULL 12321704643 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 00097 ABOCATH N 14 A 22 UN 3.7700 1.8832 1.8868 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0150 0.0150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00069 SERINGA DESC 10 ML UN 0.3300 0.2629 0.0671 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0600 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0600 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51378 SERINGA DESC 03 ML UN 0.1500 0.1100 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2300 0.0700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.4000 0.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5800 0.4200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.5800 0.4200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 20.9900 20.9885 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12190351843 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00069 SERINGA DESC 10 ML UN 0.3300 0.2533 0.0767 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00069 SERINGA DESC 10 ML UN 1.0000 0.7677 0.2323 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1270 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0100 0.0200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 54687 IODOPOVIDONA SD TP ML 0.6000 0.3600 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3702 0.0298 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0530 0.0470 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0430 0.0570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.1339 2.2761 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.1339 2.2761 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP 37.9900 37.9855 0.0045 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00312 ONDANSETRONA 2 MG/ML 4 ML SI IV AP 13.5300 0.0000 13.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 27042 CLOREXIDINA 2 % ST TP ML DEGERMANTE 0.5300 0.3670 0.1630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 27042 CLOREXIDINA 2 % ST TP ML DEGERMANTE 0.5300 0.3670 0.1630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12234060246 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.4990 0.5010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5013 0.0887 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5013 0.0887 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5013 0.0887 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5013 0.0887 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5013 0.0887 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5013 0.0887 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1780 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1780 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1780 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.7494 0.2506 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00098 ABOCATH N 14 A 22 UN 3.7700 2.2610 1.5090 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00111 ABOCATH N 14 A 22 UN 7.5300 4.5158 3.0142 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00069 SERINGA DESC 10 ML UN 0.3300 0.3190 0.0110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.3719 0.2181 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.3719 0.2181 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.8320 0.1680 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.1320 0.3980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00124 LUVA CIRURGICA UN 1.4500 0.6206 0.8294 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00124 LUVA CIRURGICA UN 1.4500 0.6206 0.8294 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00124 LUVA CIRURGICA UN 1.4500 0.6206 0.8294 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00124 LUVA CIRURGICA UN 1.4500 0.6206 0.8294 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00124 LUVA CIRURGICA UN 1.4500 0.6206 0.8294 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00124 LUVA CIRURGICA UN 1.4500 0.6206 0.8294 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2916 0.0184 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2912 0.0188 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.2912 0.0188 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4524 0.1376 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00031 AGULHA DESC 13 X 45 UN 0.1900 0.1731 0.0169 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00069 SERINGA DESC 10 ML UN 0.3300 0.2963 0.0337 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3330 0.0670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51584 ESPARADRAPO MICROPORE 0.2600 0.1970 0.0630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51584 ESPARADRAPO MICROPORE 0.2600 0.1970 0.0630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51584 ESPARADRAPO MICROPORE 0.2600 0.1970 0.0630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51584 ESPARADRAPO MICROPORE 0.2600 0.1970 0.0630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51584 ESPARADRAPO MICROPORE 0.7700 0.5850 0.1850 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 2.1840 0.4560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 2.1840 0.4560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01300 MORFINA 10 MG/ML 1 ML SI IM IT IV PE AP 2.6400 2.1840 0.4560 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 1.7043 1.7057 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 09340 LEVOFLOXACINO 5 MG/ML 100 ML SI IV BS 105.6800 105.6777 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 09340 LEVOFLOXACINO 5 MG/ML 100 ML SI IV BS 105.6800 105.6771 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 09340 LEVOFLOXACINO 5 MG/ML 100 ML SI IV BS 105.6800 105.6771 0.0029 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.4900 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 04963 PANTOPRAZOL 40 MG CP VO UN 3.4600 2.9800 0.4800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2150 0.3150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2150 0.3150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2150 0.3150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2150 0.3150 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4126 0.0674 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8253 0.1347 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8253 0.1347 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8253 0.1347 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8253 0.1347 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8253 0.1347 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.8253 0.1347 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.9200 1.6506 0.2694 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0200 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 2.5637 0.2663 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 2.5637 0.2663 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 2.5637 0.2663 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 02246 HIDROCORTISONA 100 MG PO IM IV FA 2.8300 2.5637 0.2663 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4092 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1888 0.0012 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 0.9500 0.9477 0.0023 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.3000 0.2967 0.0033 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.2693 0.1407 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.2160 0.5140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51660 BROMETO DE IPRATROPIO SL IN GT 0.8000 0.0200 0.7800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 51671 REPARIL (ESCINA + DIETILAMONIO) GL TP GR 0.3800 0.3216 0.0584 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2276 0.2524 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.9737 0.3063 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1310 0.1690 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.2620 0.3380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2200 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2200 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.3070 0.4630 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51163 AGUA BIDESTILADA 250 ML 5.7900 4.8300 0.9600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.5600 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.5600 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 04963 PANTOPRAZOL 40 MG CP VO UN 1.7300 1.5600 0.1700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0120 0.0180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0120 0.0180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0120 0.0180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0250 0.0350 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9382 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3690 0.1110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3690 0.1110 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.9200 1.4790 0.4410 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 51660 BROMETO DE IPRATROPIO SL IN GT 2.1000 0.0000 2.1000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 09b825abc9ef518ba223f29f2bf7c07b WALDEMAR NULL NULL 12171249749 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 09b825abc9ef518ba223f29f2bf7c07b WALDEMAR NULL NULL 12171249749 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 09b825abc9ef518ba223f29f2bf7c07b WALDEMAR NULL NULL 12171249749 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51241 AGULHA 123X45 0.1900 0.1808 0.0092 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51241 AGULHA 123X45 0.1900 0.1808 0.0092 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51241 AGULHA 123X45 0.1900 0.1808 0.0092 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51241 AGULHA 123X45 0.1900 0.1808 0.0092 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51241 AGULHA 123X45 0.1900 0.1808 0.0092 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3130 0.0870 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1200 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4027 0.1873 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4027 0.1873 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.4027 0.1873 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0280 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3809 0.0191 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3809 0.0191 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3809 0.0191 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1400 0.0400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1300 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1300 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1300 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.1900 0.1538 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.1900 0.1538 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.1900 0.1538 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.1900 0.1538 0.0362 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00069 SERINGA DESC 10 ML UN 0.3300 0.1732 0.1568 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 00069 SERINGA DESC 10 ML UN 0.3300 0.1732 0.1568 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3230 0.0770 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.6550 0.1550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51660 BROMETO DE IPRATROPIO SL IN GT 3.2000 0.0000 3.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 54555 AEROLIN 0.5000 0.4980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51163 AGUA BIDESTILADA 250 ML 11.5800 11.5760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.2810 0.2490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.2455 0.2345 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.4911 0.4689 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51419 FILTRO DE BARREIRA 24.0000 12.0000 12.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00124 LUVA CIRURGICA UN 1.4500 1.1130 0.3370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2500 0.2600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 1.6996 0.8504 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 1.6994 0.8506 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2200 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2200 0.0800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 1.2000 0.8400 0.3600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51584 ESPARADRAPO MICROPORE 0.2600 0.0700 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51584 ESPARADRAPO MICROPORE 0.2600 0.0700 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51584 ESPARADRAPO MICROPORE 0.2600 0.0700 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51584 ESPARADRAPO MICROPORE 0.2600 0.0700 0.1900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51584 ESPARADRAPO MICROPORE 0.2600 0.0600 0.2000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51584 ESPARADRAPO MICROPORE 0.7700 0.2000 0.5700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 54685 POLVIDINE ALCOOLICA 0.6000 0.3600 0.2400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3870 0.0930 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3830 0.0970 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.3730 0.1070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.9600 0.7470 0.2130 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 54687 IODOPOVIDONA SD TP ML 0.4000 0.1200 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 54687 IODOPOVIDONA SD TP ML 0.4000 0.1200 0.2800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.1421 0.5879 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 4.7300 4.1415 0.5885 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 31291 METRONIZADOL 250 MG CP VO UN 0.2200 0.2170 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 30813 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.3252 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 30813 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.3252 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 30813 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.3252 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00838 HIDRALAZINA 50 MG DG VO UN 0.3200 0.0890 0.2310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 57266 FUMARATO DE QUETIAPINA 100 MG CP 8.6100 8.6100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 26999 GANCICLOVIR 500 MG + DIL. PO IV F 151.0400 151.0374 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e50b4ec606f1a798ea42317b7bd1fe10 JACY NULL NULL 11932336748 51241 AGULHA 123X45 0.7900 0.6235 0.1665 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.6600 0.0000 0.6600 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.2030 0.4670 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2700 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51240 FITA ADVANTAGE P/ GLICOSE UN 7.7600 7.7541 0.0059 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 17310 IODOPOVIDONA ALCOOLICA SL TP ML 0.0000 2.1000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 55344 REMIFENTANIL 2 MG PO IV ML 0.0000 2.3995 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 01929 ATROPINA 0,50 MG SI IV AP 0.6500 0.6478 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 32891 EQUIPO POLIFIX 2ş VIAS UN 2.5500 2.5484 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 33227 LUVA CIRURGICA UN 2.9000 2.8950 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 20567 SORO FISIOLOGICO 0,9% 500 ML SI IV 9.4700 9.4690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 37761 ALCOOL ETILICO 70 % ST TP ML 0.3000 0.3000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 33219 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.8315 -0.1615 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 08648 ESPARADRAPO 10 X 4.5 CM CM 0.4512 0.5888 -0.1888 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5880 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 12262 ISOSSORBIDA 20 MG CP VO UN 0.2200 0.2158 0.0042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cfec8246cb6dd6b0209430096d4acc2e ZILDA NULL NULL 12216841040 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 37761 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0600 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 8.6900 8.6850 0.0050 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b8a475da88bed12e95a37fea37acbf1 MARIA NULL NULL 12246405641 25040014 ASSISTENCIA FISIATRICA RESPIRATORIA 0.0000 0.0000 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.2300 0.2056 0.0244 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9976 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 54294 ZOLPIDEM 10 MG CP 1.2800 1.2800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 2.3900 2.3900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6900 1.3214 0.3686 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 22756 LIDOCAINA 2% S/ VASO SI PE ML 0.4700 0.4700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8024 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1224 0.1476 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1346 0.1354 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.5120 0.0080 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 34584 CAPTOPRIL 50 MG CP VO UN 0.1600 0.1600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 01c86ea9e8701666ebfce68f2b0f03a6 ZELIA NULL NULL 12298014038 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1770 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 bcaf52a172d225b74745a133f1a88ade MARIANA NULL NULL 12267218032 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 9b5312a9b62e67e053cee9fae99cb3ca MARIANA NULL NULL 12327329933 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 9b5312a9b62e67e053cee9fae99cb3ca MARIANA NULL NULL 12327329933 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.0000 0.8078 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.3970 0.1330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.7220 0.0880 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3565 0.0435 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9976 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 00737 CEFTRIAXONA IV 1G + DIL. 10 ML PO IV FA 54.1300 54.1300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.6000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51379 SERINGA DESC 05 ML UN 0.1900 0.0500 0.1400 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51379 SERINGA DESC 05 ML UN 0.1900 0.0500 0.1400 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00069 SERINGA DESC 10 ML UN 0.3300 0.0870 0.2430 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00069 SERINGA DESC 10 ML UN 0.3300 0.0870 0.2430 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00069 SERINGA DESC 10 ML UN 0.3300 0.0870 0.2430 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00090 SERINGA DESC 20 ML UN 0.5400 0.1430 0.3970 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.6600 0.1750 0.4850 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 54157 EQUIPO P/ DIETA ENTERAL UN 1.7000 0.4510 1.2490 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 54157 EQUIPO P/ DIETA ENTERAL UN 1.7000 0.4510 1.2490 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51622 MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR 6.6000 1.7530 4.8470 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 55030165 Desobstrução Traqueal a Laser NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 51578 Frasco p/ alimentacao enteral NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 51590 ABAIXADOR DE LINGUA UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54157 EQUIPO P/ DIETA ENTERAL UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00919 ALGODAO HIDROFILO BOLINHA UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00919 ALGODAO HIDROFILO BOLINHA UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 52941 Clorexidina Degermante 2% Fr30ml - Solução De Uso Tópico NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 15010023 Hemodiálise (Por Sessão) NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 02461 FENOTEROL 2 MG/ML 10 ML AE IN DS 2.7200 0.0000 2.7200 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 36362 PANTOPRAZOL GENERICO NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 38256 COLAGENASE PM TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 51673 ALGINATO DE CALCIO EM HIDROGEL GL TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 54685 POLVIDINE ALCOOLICA NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00919 ALGODAO HIDROFILO BOLINHA UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00919 ALGODAO HIDROFILO BOLINHA UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 52963 FILTRO DE LEUCOCITOS 0.6400 0.5823 0.0577 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 20010141 Ecocardiograma Bidimensional com Mapeamento de Fluxo à Cores NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 51649 ALCOOL ETILICO 70 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 51649 ALCOOL ETILICO 70 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 54687 IODOPOVIDONA SD TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 52010341 Hérnia Discal - Tratamento Cirúrgico 98.5500 80.2500 18.3000 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 52010023 Artrodese da Coluna Vertebral Via Anterior ou Póstero Lateral 246.3700 200.6100 45.7600 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 52010511 Fratura do Cóccix - Tratamento Cruento 249.1100 202.8400 46.2700 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00919 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.2700 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00919 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.2700 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00094 ABOCATH N 14 A 22 UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 02203 OLEO MINERAL 100% SO VO ML 3.7600 3.5280 0.2320 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 62c67907cb5c62b293197216037d25ff VALDECI NULL NULL 12263446844 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.6000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51230 AGULHA DESC 30 X 7 - 40X12 UN 4.9940 2.8320 0.0380 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51230 AGULHA DESC 30 X 7 - 40X12 UN 4.8140 2.6550 0.0350 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00919 ALGODAO HIDROFILO BOLINHA UN 0.3456 0.3072 0.0128 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00031 AGULHA DESC 13 X 45 UN 0.8000 0.7751 0.0249 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 32f05a73880fc9c6bca09515ac22c30e SEBASTIAO NULL NULL 12310899644 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 52.2500 52.2420 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 09b825abc9ef518ba223f29f2bf7c07b WALDEMAR NULL NULL 12171249749 00091 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3044 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 57266 FUMARATO DE QUETIAPINA 100 MG CP 8.6100 8.6076 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 18716 RISPERIDONA 1 MG CP VO UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5852 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 318e80217df403f4d2c0010024c2e1ae NILO NULL NULL 12222455942 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f46c55d85311b267c39a3c36a11c1704 WILSON NULL NULL 12288777248 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1740 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1239 0.1461 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 00111 ABOCATH N 14 A 22 UN 3.7700 3.7700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6cc91d0bae7ee80faf1515c3c1bc4604 OLGA NULL NULL 12241643640 00404 LACTULOSE 667 MG/ML XP VO ML 8.5800 8.5720 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6cc91d0bae7ee80faf1515c3c1bc4604 OLGA NULL NULL 12241643640 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 240.5100 240.5100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9dbb8f82efe7a16aa84c856804bd479e SEBASTIAO NULL NULL 12228729249 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 1.8019 1.0201 0.0399 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dc0262e6d5010acfe6a18c66d0d30ed3 OSMIDA NULL NULL 12264720947 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dc0262e6d5010acfe6a18c66d0d30ed3 OSMIDA NULL NULL 12264720947 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7860 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dc0262e6d5010acfe6a18c66d0d30ed3 OSMIDA NULL NULL 12264720947 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6d1f14f3ff88eb9505022717f4a37ce3 SEBASTIAO NULL NULL 12309007940 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 28959 DERSANI LC TP ML 0.0000 29.1000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51584 ESPARADRAPO MICROPORE 0.2700 0.2560 0.0140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51584 ESPARADRAPO MICROPORE 0.2700 0.2560 0.0140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51584 ESPARADRAPO MICROPORE 0.2700 0.2560 0.0140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51584 ESPARADRAPO MICROPORE 0.2700 0.2816 -0.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51584 ESPARADRAPO MICROPORE 0.2700 0.2816 -0.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9968 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 01603 GLICOSE 50% 10 ML SI IV AP 2.1900 2.1900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 51208 SORO RINGER SIMPLES 500 ML SI IV BS 11.8800 11.8800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 1.0200 1.0200 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9960 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 00097 ABOCATH N 14 A 22 UN 3.7700 3.7700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.8100 0.8100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 00919 ALGODAO HIDROFILO BOLINHA UN 0.5400 0.5376 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 3275821189c63c84b49d8f2bc474df14 LEILA NULL NULL 12298170140 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00919 ALGODAO HIDROFILO BOLINHA UN 0.5200 0.3354 0.1846 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.1845 0.0855 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 41.9800 41.9800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 01503 HIDRALAZINA 50 MG DG VO UN 0.3200 0.6400 -0.3200 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 14460 DOMPERIDONA 10 MG CP VO UN 0.7800 0.7800 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 30813 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.3252 0.0048 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 30813 DEXCLORFENIRAMINA 2 MG CP VO UN 0.3300 0.3252 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 1.9953 0.9260 0.4740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 1.7953 0.7937 0.4063 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 1.7953 0.7937 0.4063 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 00037 AGULHA DESC 30 X 7 - 40X12 UN 9.2300 1.5930 7.6370 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 013b155943183fa582252ca154e5569f JUVELINA NULL NULL 12165747648 00125 LUVA CIRURGICA UN 1.4500 1.4450 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248313941 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7820 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248313941 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3400 0.0939 0.2461 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12261951145 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3400 0.0939 0.2461 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 26999 GANCICLOVIR 500 MG + DIL. PO IV F 151.0400 151.0374 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 26999 GANCICLOVIR 500 MG + DIL. PO IV F 151.0400 151.0374 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 26999 GANCICLOVIR 500 MG + DIL. PO IV F 151.0400 151.0374 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 34860 SULFAMETOXAZOL 400 MG + TRIMETOPRIM 0.7000 0.7000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8b09750a6d2390cf2ffd5dd76799599a IVON NULL NULL 12292121344 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bfe0dce5ba78a927b1ddf0f5d8bcfddc JOSE NULL NULL 12263204342 12262 ISOSSORBIDA 20 MG CP VO UN 0.2200 0.2174 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2abb44c4a2ca59174467848d6678378d JESUINA NULL NULL 12266838249 00097 ABOCATH N 14 A 22 UN 3.7700 3.7700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 1.3700 1.3675 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 3.4300 3.4300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 4.1200 4.1200 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 4.1200 4.1200 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 03766 DOMPERIDONA 10 MG CP VO UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 1.6640 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 0.0000 3.0894 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 0.0000 3.0894 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 0.0000 6.1788 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 01582 EPINEFRINA 1 MG/ML 1 ML SI IM IV SC AP 0.0000 1.9676 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00169 SORO GLICOSADO 5% 500 ML SI IV BS 0.0000 4.7021 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00169 SORO GLICOSADO 5% 500 ML SI IV BS 0.0000 4.7021 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00172 SORO FISIOLOGICO 0,9% 500 ML SI IV BS 0.0000 18.9400 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 02247 HIDROCORTISONA 500 MG PO IM IV FA 0.0000 6.3444 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 25030019 Distúrbios Circulatórios Artério - Venosos e Linfáticos 0.0000 91.6800 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 03280 CLOREXIDINA 2 % ST TP ML 0.0000 0.4540 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.0000 1.5300 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.0000 0.5882 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0000 0.2900 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0000 0.2900 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0000 1.1400 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51584 ESPARADRAPO MICROPORE 0.0000 0.7700 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51649 ALCOOL ETILICO 70 % ST TP ML 0.0000 0.2300 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 52730 METARAMINOL 10 MG 0.0000 4.5060 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 54677 FIO ACIFLEX 6 C/ AGULHA 4,80 1/2 - M654-G EV 0.0000 150.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 54687 IODOPOVIDONA SD TP ML 0.0000 1.6900 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3028 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3028 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3028 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3028 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3028 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 2.1385 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 07836 MONOCRYL Plastica 0.0000 44.2600 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5300 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5300 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00919 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.2590 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 51584 ESPARADRAPO MICROPORE 0.2600 0.2600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP 1.8700 1.8700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 6.8200 6.8200 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 10.2200 10.2200 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 1.9600 1.1275 0.0125 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 1.9600 1.1275 0.0125 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00919 ALGODAO HIDROFILO BOLINHA UN 0.2800 0.2560 0.0240 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51584 ESPARADRAPO MICROPORE 0.5300 0.4909 0.0391 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51584 ESPARADRAPO MICROPORE 0.5300 0.5154 0.0146 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51584 ESPARADRAPO MICROPORE 0.5300 0.5154 0.0146 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 5.8400 5.8400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 5.8400 5.8400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5476 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12063577644 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 0.9984 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5868 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 01583 NEOSTIGMINA 0,5 MG/ML 1 ML SI IM IV SC AP 1.5300 1.5300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 00124 LUVA CIRURGICA UN 1.4500 1.4450 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12262000642 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5b49d2f04c1e65fdce66f2a09bc65ad3 ESTELINA NULL NULL 12222228640 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7840 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9c457292aaeaf9fb2625e0716629becd ISABELLA NULL NULL 12263855845 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5468 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.2100 0.2000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.2100 0.2100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 21261 TEICOPLANINA 400 MG + DIL. 3 ML PO 362.7200 362.7183 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 00169 SORO GLICOSADO 5% 500 ML SI IV BS 5.1900 5.1900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7781a83504beb0f6fc1c86041782e8a1 ELODY NULL NULL 12320802443 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2fd28f5aa76be7aa2072537d0ba85951 ELAINE NULL NULL 12255258142 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4486 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2fd28f5aa76be7aa2072537d0ba85951 ELAINE NULL NULL 12255258142 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.7100 0.7100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 01062 CATETER OXIGENIO TIPO OCULOS UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 02224 DOBUTAMINA 250 MG 20 ML SI IV AP 41.9800 41.9800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 00090 SERINGA DESC 20 ML UN 6.4600 6.4520 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 52956 FIO MONONYLON 0 C/ AGULHA 2,0 3/8 14505T UN UN 7.4600 7.4510 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 1.1700 0.2130 0.9570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00124 LUVA CIRURGICA UN 1.4500 1.4400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 00124 LUVA CIRURGICA UN 1.4500 1.4500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 51584 ESPARADRAPO MICROPORE 0.5100 0.5100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 51208 SORO RINGER SIMPLES 500 ML SI IV BS 5.9400 5.9400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12234060246 00095 ABOCATH N 14 A 22 UN 3.7700 3.7700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5804 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4b88d072d07db090ddd30d3cc28d4112 CARLOS NULL NULL 12281504740 25722 OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA 19.5800 19.5800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cc4c5c9ac52be7906f0b6ce08416d241 BRUNA NULL NULL 12267241344 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2540 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cc4c5c9ac52be7906f0b6ce08416d241 BRUNA NULL NULL 12267241344 00919 ALGODAO HIDROFILO BOLINHA UN 0.1300 0.1300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a2cb1d00214ab61900fac49444b1672c CARMEM NULL NULL 12297674446 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a2cb1d00214ab61900fac49444b1672c CARMEM NULL NULL 12297674446 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1740 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a2cb1d00214ab61900fac49444b1672c CARMEM NULL NULL 12297674446 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321471846 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321471846 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00184 CLORETO DE POTASSIO 10% 10 ML SI IV AP 0.8900 0.8839 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51584 ESPARADRAPO MICROPORE 0.5300 0.5300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51163 AGUA BIDESTILADA 250 ML 5.7900 5.7900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00943 EQUIPO POLIFIX 2 VIAS UN 5.1000 5.1000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12148061449 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12190351843 26999 GANCICLOVIR 500 MG + DIL. PO IV F 151.0400 151.0348 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12190351843 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2520 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11193 CLOREXIDINA 2 % ST TP ML 0.5300 0.5320 -0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27316 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.7037 -0.0037 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27316 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.7037 -0.0037 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 1.5900 1.5884 0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 37761 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0600 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 3.8500 3.8464 0.0036 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 2.8800 2.8848 -0.0048 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.9600 0.9616 -0.0016 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.4800 0.4808 -0.0008 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.4800 0.4808 -0.0008 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.4800 0.4808 -0.0008 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 32204 CLORETO DE SODIO 0,9% 10 ML SI IV 0.4800 0.4808 -0.0008 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19151 SERINGA DESC 10 ML UN 0.3300 0.3331 -0.0031 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19151 SERINGA DESC 10 ML UN 0.3300 0.3331 -0.0031 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 31585 RANITIDINA 25 MG/ML 2 ML SI IV IM 0.9300 0.9337 -0.0037 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 09636 FLORATIL (SACCHAROMYCES BOULARDII) 4.4400 4.4429 -0.0029 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 09636 FLORATIL (SACCHAROMYCES BOULARDII) 4.4400 4.4429 -0.0029 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 14087 METRONIDAZOL 500 MG 100 ML SI IV B 14.1600 14.1618 -0.0018 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 14087 METRONIDAZOL 500 MG 100 ML SI IV B 7.0800 7.0809 -0.0009 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 14087 METRONIDAZOL 500 MG 100 ML SI IV B 7.0800 7.0809 -0.0009 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33219 LUVA DE PROCEDIMENTO UNIDADE UN 1.6900 1.6650 0.0250 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 20559 SORO FISIOLOGICO 0,9% 250 ML SI IV 3.9400 3.9447 -0.0047 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 20559 SORO FISIOLOGICO 0,9% 250 ML SI IV 3.9400 3.9447 -0.0047 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 11363 ESCOPOLAMINA 20 MG/ML 1 ML SI IM I 1.0200 1.0239 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00540 AGULHA DESC 13 X 45 UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 1.6200 1.6156 0.0044 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 1.2100 1.2117 -0.0017 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3565 0.0435 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 51584 ESPARADRAPO MICROPORE 0.5100 0.3000 0.2100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0000 0.1800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 00090 SERINGA DESC 20 ML UN 1.6100 1.6070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a48e469abc716636c97d5b4032f77caa APARECIDA NULL NULL 12309719743 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a48e469abc716636c97d5b4032f77caa APARECIDA NULL NULL 12309719743 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2580 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 83537f27220ad33437d817c3e6d9fd92 JOAO NULL NULL 12291888848 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 83.4500 83.4492 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2100 0.0900 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 20.2783 0.0017 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 3.1800 2.4708 0.7092 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.2356 0.3544 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2550 0.2550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6600 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.3500 0.3447 0.0053 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1773 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00090 SERINGA DESC 20 ML UN 0.5400 0.5300 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1758 0.0042 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5879 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5891 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 2.4200 2.4176 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 2.0200 2.0180 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 2.0200 2.0180 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7660 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.3040 0.0960 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 00069 SERINGA DESC 10 ML UN 2.3300 2.3268 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6070 0.3930 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2761 0.0439 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.3200 0.2761 0.0439 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c9fa63b3fdfd97f8d59fe9d09cd453d4 MANOEL NULL NULL 12254447341 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 bfe0dce5ba78a927b1ddf0f5d8bcfddc JOSE NULL NULL 12263204342 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 19400 CIPROFLOXACINO 2 MG/ML 100 ML SI IV BS 80.1700 80.1685 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6300 0.3700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2780 0.0220 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12244734248 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321471846 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f5da0d586d7aa04e6cb8a0c4d990850 CAIRO NULL NULL 12321471846 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4082 0.0018 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.8000 1.7960 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12290648140 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.7390 0.2610 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 fe3b527a0c8f53b82c401f1841646ced HUGO NULL NULL 12091450745 00124 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 06da7e6171666c282a23b6bfaea34946 ANA NULL NULL 12311962340 09070 ACETILCISTEINA 600MG PO VO SA 3.5000 3.4900 0.0100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 06da7e6171666c282a23b6bfaea34946 ANA NULL NULL 12311962340 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9c457292aaeaf9fb2625e0716629becd ISABELLA NULL NULL 12263855845 00657 CEFAZOLINA 1 GR + DIL. 10 ML PO IM IV FA 0.0000 16.2550 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9c457292aaeaf9fb2625e0716629becd ISABELLA NULL NULL 12263855845 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.5610 0.8490 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.9970 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.9970 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4085 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51659 FENOTEROL 2 MG/ML 10 ML AE IN DS 1.7000 0.0000 1.7000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.2940 0.1060 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5350 0.0650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.6000 0.5350 0.0650 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2670 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2670 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.2670 0.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 60.8400 55.0413 5.7987 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 40.5600 36.6942 3.8658 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 18.3471 1.9329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 20.2800 18.3471 1.9329 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 1.2800 0.3142 0.9658 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2550 0.2550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2550 0.2550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2550 0.2550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.2550 0.2550 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 28311 TORNEIRINHA DE 3 VIAS DESCARTAVEL UN 8.4000 1.6803 6.7197 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0000 0.0500 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00124 LUVA CIRURGICA UN 1.4500 1.4480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00124 LUVA CIRURGICA UN 1.4500 1.4480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00124 LUVA CIRURGICA UN 1.4500 1.4480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00124 LUVA CIRURGICA UN 1.4500 1.4480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00124 LUVA CIRURGICA UN 1.4500 1.4480 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 013b155943183fa582252ca154e5569f JUVELINA NULL NULL 12165747648 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.1900 0.1100 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3901 0.0099 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0250 0.0350 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0120 0.0180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 03280 CLOREXIDINA 2 % ST TP ML 0.5300 0.0000 0.5300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00098 ABOCATH N 14 A 22 UN 3.7700 2.5108 1.2592 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00097 ABOCATH N 14 A 22 UN 3.7700 2.5108 1.2592 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ecf2c9f8366a1034c9d41bcdb5e12c62 LAZARO NULL NULL 12287139141 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 2.5492 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 013b155943183fa582252ca154e5569f JUVELINA NULL NULL 12165747648 22756 LIDOCAINA 2% S/ VASO SI PE ML 0.0000 0.2055 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 013b155943183fa582252ca154e5569f JUVELINA NULL NULL 12165747648 19160 SERINGA DESC 20 ML UN 0.0000 1.0760 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 013b155943183fa582252ca154e5569f JUVELINA NULL NULL 12165747648 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.9990 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248305538 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 80b48beb268563c3e97e343f59e1bb64 JOAO NULL NULL 12243320148 33227 LUVA CIRURGICA UN 0.0000 1.4475 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1813 0.0087 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1813 0.0087 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1813 -0.0013 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1813 -0.0013 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1813 -0.0013 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1813 -0.0013 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 29661 NOREPINEFRINA 2 MG/ML 4 ML SI IV A 37.9900 37.9856 0.0044 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 29661 NOREPINEFRINA 2 MG/ML 4 ML SI IV A 37.9900 37.9856 0.0044 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19143 SERINGA DESC 05 ML UN 0.1900 0.1922 -0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19135 SERINGA DESC 03 ML UN 0.1500 0.1500 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19135 SERINGA DESC 03 ML UN 0.1500 0.1500 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00558 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 0.1000 0.1025 -0.0025 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 3.4100 3.4055 0.0045 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.6000 0.5987 0.0013 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 50598 ATROPINA 0,25 MG SI IV AP 0.4800 0.4842 -0.0042 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 50598 ATROPINA 0,25 MG SI IV AP 0.4800 0.4842 -0.0042 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 50598 ATROPINA 0,25 MG SI IV AP 0.4800 0.4842 -0.0042 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 20931 SULFATO DE MAGNESIO 100 MG/ML 10 ML 0.0000 1.8956 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 999999 DESPESAS HOSPITALARES DIVERSAS 0.0000 43.8000 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 29580 FRASCO P/NUTRIÇAO ENTERAL 300 LACRE 2.4700 2.4723 -0.0023 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 55018 ALGINATO DE CALCIO EM HIDROGEL GL 20.7000 21.3900 -0.6900 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 28959 DERSANI LC TP ML 9.7000 9.7000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 28959 DERSANI LC TP ML 9.7000 10.6700 -0.9700 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 28959 DERSANI LC TP ML 9.7000 10.6700 -0.9700 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 13757 IODOPOVIDONA SD TP ML 0.4000 0.4000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.4000 0.4039 -0.0039 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27316 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.7037 -0.0037 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27316 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.7037 -0.0037 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 56723 DIETA DIABETES (C/CARBOIDRATO DE AB 146.2500 146.3800 -5.9800 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 56723 DIETA DIABETES (C/CARBOIDRATO DE AB 146.2500 146.3800 -5.9800 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00590 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1779 0.0021 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 37761 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0600 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 17310 IODOPOVIDONA ALCOOLICA SL TP ML 1.8000 1.8000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 17310 IODOPOVIDONA ALCOOLICA SL TP ML 0.6000 0.6000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00817 ALGODAO HIDROFILO BOLINHA UN 0.5612 0.5888 -0.0788 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4076 0.0024 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33693 LEVOFLOXACINO 5 MG/ML 100 ML SI IV 105.6800 105.6772 0.0028 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 0.6000 0.5987 0.0013 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 23914 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALV 3.7300 3.7278 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 20.2800 20.2784 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 1.5400 1.5360 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33219 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.6650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 0.9000 0.9000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 05975 COMPRESSAS DE GAZES 7.5 X7,5 (11 FI 1.8000 1.8000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 29661 NOREPINEFRINA 2 MG/ML 4 ML SI IV A 37.9900 37.9812 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 56928 MODULO DE PROTEINAS DO SORO DO LEIT 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 55093 POLIMIXINA B 500.000 UI PO IM IT I 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 a48e469abc716636c97d5b4032f77caa APARECIDA NULL NULL 12309719743 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a48e469abc716636c97d5b4032f77caa APARECIDA NULL NULL 12309719743 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 11.6800 11.6800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 52353 ABAIXADOR DE LINGUA UN 0.0500 0.0512 -0.0012 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 29580 FRASCO P/NUTRIÇAO ENTERAL 300 LACRE 2.4700 2.4723 -0.0023 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 29580 FRASCO P/NUTRIÇAO ENTERAL 300 LACRE 2.4700 2.4723 -0.0023 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 28959 DERSANI LC TP ML 19.4000 19.4000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 28959 DERSANI LC TP ML 19.4000 19.4000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 60.8400 60.8352 0.0048 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 13757 IODOPOVIDONA SD TP ML 0.4000 0.4000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 13757 IODOPOVIDONA SD TP ML 0.4000 0.4000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 22748 LIDOCAINA 2% GE TP OU GR 2.3500 2.4464 -0.0964 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27316 EQUIPO P/ DIETA ENTERAL UN 1.7000 1.7037 -0.0037 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 56723 DIETA DIABETES (C/CARBOIDRATO DE AB 111.1500 111.1500 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 56723 DIETA DIABETES (C/CARBOIDRATO DE AB 17.5500 17.5500 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 17310 IODOPOVIDONA ALCOOLICA SL TP ML 0.9000 0.9000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 17310 IODOPOVIDONA ALCOOLICA SL TP ML 0.6000 0.6000 0.0000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00817 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.5376 -0.0276 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00817 ALGODAO HIDROFILO BOLINHA UN 0.5356 0.5632 -0.0532 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00817 ALGODAO HIDROFILO BOLINHA UN 0.5356 0.5632 -0.0532 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4100 3.4043 0.0057 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.4043 -0.0043 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.4043 -0.0043 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 20613 SORO GLICOSADO 5% 250 ML SI IV BS 3.4000 3.4043 -0.0043 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00426 AGUA BIDESTILADA 10 ML SI IV IM AP 0.8100 0.8078 0.0022 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 07269 DIPIRONA 500 MG/ML 2 ML SI IV IM 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.8000 1.7961 0.0039 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 42358 FUROSEMIDA 10 MG/ML 2 ML SI IM IV 1.2000 1.1974 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 2.8800 2.8794 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54518 MIDAZOLAM 5 MG/ML 10 ML SI IV AP 65.2100 65.2098 0.0002 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 5.1800 5.1752 0.0048 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 27596 TIRA TESTE PARA GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 3.1800 3.1768 0.0032 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 1.5900 1.5884 0.0016 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7680 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.2600 0.2560 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19119 SERINGA DESC 01 ML (INSULINA) UN 0.3100 0.3074 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 19160 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 33227 LUVA CIRURGICA UN 1.4500 1.4475 0.0025 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 01929 ATROPINA 0,50 MG SI IV AP 0.6500 0.6478 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 02461 FENOTEROL 2 MG/ML 10 ML AE IN DS 0.4300 0.4214 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 24430 FIO MONONYLON 3-0 C/ AGULHA 2,0 3/8 0.0000 6.6869 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00469 AGUA BIDESTILADA 250 ML SI IM IV 0.0000 5.7880 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 00125 LUVA CIRURGICA UN 4.3400 4.3325 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.8300 0.8291 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1774 0.0026 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2816 -0.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0b0d528834878a853de575d6fda99575 ANDRE NULL NULL 12276785149 00125 LUVA CIRURGICA UN 1.4500 1.4500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 06da7e6171666c282a23b6bfaea34946 ANA NULL NULL 12311962340 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5868 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 06da7e6171666c282a23b6bfaea34946 ANA NULL NULL 12311962340 00090 SERINGA DESC 20 ML UN 0.5400 0.5400 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 00341 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6500 0.6500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cf662de8af4357c5b15b7cd2fc8a126d MARIA NULL NULL 12227614540 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.6500 0.6500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 73e4a44f4d56fac95aed807cb569d25b MARIO NULL NULL 12268522644 00919 ALGODAO HIDROFILO BOLINHA UN 0.1300 0.1300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 73e4a44f4d56fac95aed807cb569d25b MARIO NULL NULL 12268522644 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 34584 CAPTOPRIL 50 MG CP VO UN 0.1600 0.1600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 34584 CAPTOPRIL 50 MG CP VO UN 0.1600 0.1600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 1.0000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 c68df788d7fd8af617351d7f4bd59830 NEY NULL NULL 12262557947 00097 ABOCATH N 14 A 22 UN 3.7700 3.7700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283876047 00757 CEFUROXIMA 750 MG + DIL. 6 ML PO IM IV FA 26.1300 26.1300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8bd2b350a250f21e8c8bf7c476b2c57 ORESTE NULL NULL 12283876047 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2520 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320508342 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2560 0.0140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00097 ABOCATH N 14 A 22 UN 3.7700 3.7700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.6000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.6000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 00406 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.6000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12190385841 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5852 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 00919 ALGODAO HIDROFILO BOLINHA UN 0.2900 0.2816 0.0084 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 60038 BISOPROLOL 5 MG CP VO UN 2.0100 2.0100 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0bb56c1ec8c5f5d0dd5db0ad1fc34265 OZEAS NULL NULL 12236915848 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5484 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 51588 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.7700 0.7700 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 00919 ALGODAO HIDROFILO BOLINHA UN 0.5500 0.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4f62cc6608c9fa6578a4a4dec392e666 DIONESIA NULL NULL 12238011348 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.2000 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5900 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 51240 FITA ADVANTAGE P/ GLICOSE UN 10.3500 10.3500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2615c4403bdc7dbe194d87f78e190c71 GERALDO NULL NULL 12163722846 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.5868 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2816 -0.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2816 -0.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 cfec8246cb6dd6b0209430096d4acc2e ZILDA NULL NULL 12216841040 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2560 0.0140 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00919 ALGODAO HIDROFILO BOLINHA UN 0.2700 0.2816 -0.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51649 ALCOOL ETILICO 70 % ST TP ML 0.0300 0.0300 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0600 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 4ff63bc8ce9dd2c37f3ba30fffcef5f5 OSMAR NULL NULL 12276171848 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 2.5500 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51241 AGULHA 123X45 0.8200 0.0000 0.8200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 51241 AGULHA 123X45 0.8200 0.0000 0.8200 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 54294 ZOLPIDEM 10 MG CP 1.2800 1.2800 0.0000 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00919 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.2550 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 4.6900 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5300 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5300 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5300 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.6149 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3028 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3028 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3028 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3028 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3028 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3028 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3028 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3028 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00558 LAMINA BISTURI N 20, 22 E 24 UN 0.0000 2.5506 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00555 LAMINA BISTURI N 10, 11,12 E 15 UN 0.0000 0.5500 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 54994 EQUIPO P/ SOLUÇOES FOTOSSENSIVEIS UN 0.0000 16.4000 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 53052 FIO PROLENE 5-0 C/ AGULHA 1,5 1/2 9556T EV 0.0000 24.1854 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51649 ALCOOL ETILICO 70 % ST TP ML 0.0000 0.0500 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0000 1.1400 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0000 0.5700 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 03280 CLOREXIDINA 2 % ST TP ML 0.0000 2.2820 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 24082 BROMOPRIDA 5 MG/ML 2 ML SI IM IV AP 0.0000 2.7300 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 02247 HIDROCORTISONA 500 MG PO IM IV FA 0.0000 6.3500 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 02246 HIDROCORTISONA 100 MG PO IM IV FA 0.0000 2.2678 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00175 SORO FISIOLOGICO 0,9% 1000 ML SI IV BS 0.0000 23.3560 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00174 Soro Ringer C/ Lactato Bolsa C/ 500ml 0.0000 10.5600 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00171 SORO FISIOLOGICO 0,9% 250 ML SI IV BS 0.0000 3.9400 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00170 SORO GLICOSADO 5% 250 ML SI IV BS 0.0000 6.1517 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00170 SORO GLICOSADO 5% 250 ML SI IV BS 0.0000 6.1517 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00170 SORO GLICOSADO 5% 250 ML SI IV BS 0.0000 3.0803 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 01603 GLICOSE 50% 10 ML SI IV AP 0.0000 4.3780 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 0.0000 3.0894 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 01115 SONDA NASOGASTRICA LONGA N 14 UN 0.0000 0.7400 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 01062 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 000441 TAXA DE DELEUCOTIZAÇÃO NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00094 ABOCATH N 14 A 22 UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 c33a6d3d9bb68b217ac8565c5ecb2ac5 JOVANCA NULL NULL 12233941245 51230 AGULHA DESC 30 X 7 - 40X12 UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54685 POLVIDINE ALCOOLICA NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3883 0.0117 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3883 0.0117 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4089 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 02355 AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML 36.4700 36.4650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 02355 AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML 36.4700 36.4650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 02355 AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML 36.4700 36.4650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 02355 AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML 36.4700 36.4650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.4730 0.5270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.4730 0.5270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.4730 0.5270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 0.9559 1.5941 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00743 OXACILINA 500 MG + DIL. 3 ML PO IM IV FA 18.1600 18.1591 0.0009 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00743 OXACILINA 500 MG + DIL. 3 ML PO IM IV FA 9.0800 9.0795 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 03018ce2c0d79ac0ef5bd1cbcf92b7c8 MARIA NULL NULL 12298185545 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4628 0.0172 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4628 0.0172 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4628 0.0172 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4628 0.0172 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4628 0.0172 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 00181 SULFATO DE MAGNESIO 100 MG/ML 10 ML SI IM IV 1.9000 1.8959 0.0041 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1070 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 07802 PIPERACILINA 4 G + TAZOBACTAM 500 MG PO IV FA 166.9000 166.8985 0.0015 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1069 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51590 ABAIXADOR DE LINGUA UN 0.0500 0.0384 0.0116 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.3800 0.3750 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.3500 0.3450 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.2724 1.1376 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0350 0.1450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0370 0.1430 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.3720 0.2980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.3720 0.2980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2710 0.0590 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2710 0.0590 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2710 0.0590 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 5.3800 5.3620 0.0180 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.0460 0.3540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.3000 0.0300 0.2700 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 1.0590 0.5310 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00090 SERINGA DESC 20 ML UN 0.5400 0.5130 0.0270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00090 SERINGA DESC 20 ML UN 0.5400 0.5130 0.0270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00090 SERINGA DESC 20 ML UN 0.5400 0.5130 0.0270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00090 SERINGA DESC 20 ML UN 0.5400 0.5240 0.0160 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1763 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51240 FITA ADVANTAGE P/ GLICOSE UN 5.1800 5.1763 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5894 0.0006 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d2a64df14d76528bbd25fc52fbc92cae JOSE NULL NULL 12241648736 51584 ESPARADRAPO MICROPORE 0.2600 0.2570 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d2a64df14d76528bbd25fc52fbc92cae JOSE NULL NULL 12241648736 00128 LUVA DE PROCEDIMENTO UNIDADE UN 0.6700 0.6670 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 1b09fe9bdbdd049c85393b11c1fe0cff DIONILO NULL NULL 12320058937 00098 ABOCATH N 14 A 22 UN 18.8300 18.8276 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dee5a0d03c4673fe8898c0a0fff00916 ANA NULL NULL 12276505648 52582 CATETER OXIGENIO TIPO OCULOS UN 0.0000 0.9992 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 06da7e6171666c282a23b6bfaea34946 ANA NULL NULL 12311962340 57835 SORO FISIOLOGICO 0,9% 100 ML SI IV 0.0000 3.4082 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 06da7e6171666c282a23b6bfaea34946 ANA NULL NULL 12311962340 27596 TIRA TESTE PARA GLICOSE UN 0.0000 2.5876 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 06da7e6171666c282a23b6bfaea34946 ANA NULL NULL 12311962340 08664 ESPARADRAPO MICROPORE 50 X 10 CM CM 0.0000 0.1280 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 4e13adf421809cb755e1bdd80cc4efed AGRIPINA NULL NULL 12325730131 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 1.5884 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 0b0d528834878a853de575d6fda99575 ANDRE NULL NULL 12276785149 29874 PROPOFOL 1% SI IV ML 0.0000 10.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 23914 SONDA DE ASPIRAÇAO TRAQUEAL C/ VALV 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 80b48beb268563c3e97e343f59e1bb64 JOAO NULL NULL 12243320148 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 1b0af1441155e258513e760b12a462dc SEBASTIAO NULL NULL 11954333241 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 9dbb8f82efe7a16aa84c856804bd479e SEBASTIAO NULL NULL 12228729249 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 33227 LUVA CIRURGICA UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 8f8cfdbc0c571b2d7d65fb2cb07ae246 JOSE NULL NULL 12248313941 53660 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJE 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 28959 DERSANI LC TP ML 0.0000 4.8500 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 25040014 ASSISTENCIA FISIATRICA RESPIRATORIA 0.0000 73.6920 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 25208 CORDA GUIA 0,35 (CONVENCIONAL OU HI 0.0000 112.5000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 8bd870ab3cb7c0bb06a668e314067a20 MANOEL NULL NULL 12298131240 08460 EQUIPO P/ SOLUÇOES FOTOSSENSIVEIS U 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 dee5a0d03c4673fe8898c0a0fff00916 ANA NULL NULL 12276505648 64343 PERFUSOR BOMBA INFUSAO 60CM UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 20389 SONDA URETRAL N 14 UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 bb843fafad124b120218178bf6b20ecd DILSON NULL NULL 12267056041 11134 HEPARINA 5000 UI/ML 5 ML SI IV SC 0.0000 34.5528 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 000501 OXIGENIO 0.0000 112.0960 NULL GLOSA EM SERVICOS HOSPITALARES 0300
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 28959 DERSANI LC TP ML 0.0000 4.8500 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 1f3277cc39463ccd4731052218a3d88e HERMERICO NULL NULL 12259401040 00020010 Visita Hospitalar (Paciente Internado) 0.0000 63.2558 NULL COBRANCA DE HONORARIOS EM DUPLICIDADE 2607
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 02203 OLEO MINERAL 100% SO VO ML 3.7600 3.5280 0.2320 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 00919 ALGODAO HIDROFILO BOLINHA UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 00128 LUVA DE PROCEDIMENTO UNIDADE UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 12793 LAMINA BISTURI N 20, 22 E 24 UN 0.0000 1.5886 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 9e1042924e77ec2202457311e32fc8c7 VERA NULL NULL 12171707441 51649 ALCOOL ETILICO 70 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 3e40e618cdec11f4289da93a4dd51408 LUTZ NULL NULL 12187106747 43080340 DRENAGEM PERCUTANEA DE COLECAO INFECTADA NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 00919 ALGODAO HIDROFILO BOLINHA UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 54685 POLVIDINE ALCOOLICA NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 54685 POLVIDINE ALCOOLICA NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 51673 ALGINATO DE CALCIO EM HIDROGEL GL TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 51673 ALGINATO DE CALCIO EM HIDROGEL GL TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 51649 ALCOOL ETILICO 70 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 38256 COLAGENASE PM TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 30376 BROMETO DE IPRATROPIO 0,25MG/ML SL 3.2000 0.0000 3.2000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 30376 BROMETO DE IPRATROPIO 0,25MG/ML SL 2.8000 0.0000 2.8000 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 02461 FENOTEROL 2 MG/ML 10 ML AE IN DS 2.7200 0.0000 2.7200 MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12275840246 15010023 Hemodiálise (Por Sessão) NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54685 POLVIDINE ALCOOLICA NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54685 POLVIDINE ALCOOLICA NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 51673 ALGINATO DE CALCIO EM HIDROGEL GL TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 51673 ALGINATO DE CALCIO EM HIDROGEL GL TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 51673 ALGINATO DE CALCIO EM HIDROGEL GL TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 51673 ALGINATO DE CALCIO EM HIDROGEL GL TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 51673 ALGINATO DE CALCIO EM HIDROGEL GL TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 51649 ALCOOL ETILICO 70 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 51649 ALCOOL ETILICO 70 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 22061 DEXMEDETOMEDINA 100mcg/ml 2ml - Fr NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 22061 DEXMEDETOMEDINA 100mcg/ml 2ml - Fr NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 17252 LIDOCAINA 2% GE OU TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 000441 TAXA DE DELEUCOTIZAÇÃO NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00919 ALGODAO HIDROFILO BOLINHA UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 51590 ABAIXADOR DE LINGUA UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 00128 LUVA DE PROCEDIMENTO UNIDADE UN NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 25030019 Distúrbios Circulatórios Artério - Venosos e Linfáticos NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51622 MODULO DE PROTEINAS DO SORO DO LEITE PO EN GR 6.6000 1.7530 4.8470 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00943 EQUIPO POLIFIX 2 VIAS UN 2.5500 0.6770 1.8730 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51578 Frasco p/ alimentacao enteral 2.4700 0.6560 1.8140 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00919 ALGODAO HIDROFILO BOLINHA UN 0.5100 0.1350 0.3750 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51379 SERINGA DESC 05 ML UN 0.1900 0.0500 0.1400 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51379 SERINGA DESC 05 ML UN 0.1900 0.0500 0.1400 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51379 SERINGA DESC 05 ML UN 0.1900 0.0500 0.1400 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1060 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 02355 AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML 36.4700 36.4650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 02355 AMOXICILINA 1 G + CLAVULANATO 200 MG + DIL. 10 ML 36.4700 36.4650 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00098 ABOCATH N 14 A 22 UN 7.5300 1.5052 6.0248 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.4730 0.5270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.4730 0.5270 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.1560 0.1740 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 1.5900 0.3176 1.2724 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8be304aeacbe524953c3876c37c15b0c OLGA NULL NULL 12235339744 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4080 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00743 OXACILINA 500 MG + DIL. 3 ML PO IM IV FA 9.0800 9.0795 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00743 OXACILINA 500 MG + DIL. 3 ML PO IM IV FA 9.0800 9.0795 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00743 OXACILINA 500 MG + DIL. 3 ML PO IM IV FA 9.0800 9.0795 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a3bfb82253860b1398994277c29a8da8 SEBASTIAO NULL NULL 12311868348 00743 OXACILINA 500 MG + DIL. 3 ML PO IM IV FA 9.0800 9.0795 0.0005 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 25040014 Fisioterapia Respiratória - em Doente Clínico Internado 24.5600 10.5270 14.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 25040014 Fisioterapia Respiratória - em Doente Clínico Internado 24.5600 10.5270 14.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 25040014 Fisioterapia Respiratória - em Doente Clínico Internado 24.5600 10.5270 14.0330 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 25040014 Fisioterapia Respiratória - em Doente Clínico Internado 24.5600 10.5300 14.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 51649 ALCOOL ETILICO 70 % ST TP ML 0.0600 0.0300 0.0300 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 1.9200 1.8512 0.0688 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4628 0.0172 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4628 0.0172 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP 0.4800 0.4628 0.0172 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 3.4081 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 8cb5cbeb57674fe35ebce2beb67175e3 BENEDITA NULL NULL 12229470940 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5980 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1069 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1069 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 01421 CLARITROMICINA 500 MG 30 ML PO IV FA 117.1100 117.1069 0.0031 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51584 ESPARADRAPO MICROPORE 0.2600 0.2590 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 0.8970 0.7730 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00037 AGULHA DESC 30 X 7 - 40X12 UN 0.1900 0.1870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1770 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 2309f9ee274d5d199cacf4cf4b9d2584 MARIA NULL NULL 12309766743 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.2721 1.1379 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.2721 1.1379 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 3.4100 2.2721 1.1379 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 51584 ESPARADRAPO MICROPORE 0.7700 0.5130 0.2570 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 51584 ESPARADRAPO MICROPORE 0.5100 0.3440 0.1660 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.9000 0.7360 0.1640 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 00127 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.4750 0.5250 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0350 0.1450 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.6700 1.3720 0.2980 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2710 0.0590 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00127 LUVA DE PROCEDIMENTO UNIDADE UN 0.3300 0.2710 0.0590 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.3500 0.3453 0.0047 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1776 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 1.0800 1.0760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 7.7600 7.7530 0.0070 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5870 0.0030 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51589 ESPARADRAPO 10 X 4.5 CM CM 0.4000 0.0460 0.3540 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6660 0.3340 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1760 0.0040 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.1780 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5881 0.0019 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.1200 0.1400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0989 0.0011 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 1.2000 1.1973 0.0027 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 00128 LUVA DE PROCEDIMENTO UNIDADE UN 1.0000 0.6600 0.3400 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12277593340 00919 ALGODAO HIDROFILO BOLINHA UN 0.2600 0.2550 0.0050 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d1d2e0b986289681072cfb591ffd68af EUNICE NULL NULL 12325796035 00098 ABOCATH N 14 A 22 UN 3.7700 3.7690 0.0010 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 d1d2e0b986289681072cfb591ffd68af EUNICE NULL NULL 12325796035 00098 ABOCATH N 14 A 22 UN 3.7700 3.7692 0.0008 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dee5a0d03c4673fe8898c0a0fff00916 ANA NULL NULL 12276505648 22756 LIDOCAINA 2% S/ VASO SI PE ML 0.0000 0.2055 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 dee5a0d03c4673fe8898c0a0fff00916 ANA NULL NULL 12276505648 19160 SERINGA DESC 20 ML UN 0.0000 0.5380 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 4e13adf421809cb755e1bdd80cc4efed AGRIPINA NULL NULL 12325730131 00035 ABOCATH (CATETER INTRAVENOSO) N. 14 0.0000 3.7662 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 d8c9baf941fae27e2600f6494370bea4 ITAMAR NULL NULL 12222565944 17310 IODOPOVIDONA ALCOOLICA SL TP ML 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 5623c514d28a6c6636efc26764dbb47b MAURO NULL NULL 12168772949 28959 DERSANI LC TP ML 0.0000 9.7000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 9fd7295737421db4308cf279834175ae DARCI NULL NULL 12298116341 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 f01a02f4e7903f0e528706d0b8c214b4 ESRON NULL NULL 12235116248 25040014 ASSISTENCIA FISIATRICA RESPIRATORIA 0.0000 0.0000 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 8592d8e7b4e764d06f94f55899d4f222 JOAO NULL NULL 12298099142 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 1845b8565a508e00c60483c5873fb39b MARIA NULL NULL 12160256440 25739 ELETRODO DESCARTAVEL (UTI) UN 0.0000 2.7669 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 c11c0ba1f674a1af20b090b5793aa6ca RAFAEL NULL NULL 12276084143 08435 EQUIPO P/ BOMBA DE INFUSAO ENTERAL 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 7781a83504beb0f6fc1c86041782e8a1 ELODY NULL NULL 12320802443 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 fd482ff00765795c463769d80fa56877 EMIVAL NULL NULL 12213155849 25030019 DISTURBIOS CIRCULATORIOS ARTERIO VE 0.0000 68.7792 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 a0c4d7ed88b6840d5430359e4012ae60 EDNA NULL NULL 12308845646 34010173 TOMOGRAFIA COMPUTADORIZADA DE ABDOM 0.0000 0.0000 NULL EXAMES COMPLEMENTARES NAO JUSTIFICA 0502
Glosa Min 2018-04-15 00:00:00.000000 1059439 dee5a0d03c4673fe8898c0a0fff00916 ANA NULL NULL 12276505648 17310 IODOPOVIDONA ALCOOLICA SL TP ML 0.0000 1.5000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 426cf4e20bb116a6baccd5ee474f8ad4 MARIA NULL NULL 12276764640 34010130 TOMOGRAFIA COMPUTADORIZADA DO TORAX 0.0000 0.0000 NULL EXAMES COMPLEMENTARES NAO JUSTIFICA 0502
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 25030019 DISTURBIOS CIRCULATORIOS ARTERIO VE 0.0000 171.9480 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12168301248 25040014 ASSISTENCIA FISIATRICA RESPIRATORIA 0.0000 0.0000 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 6b0ac0d1a5d1a9e667db52dcec475ab2 LETICIA NULL NULL 12276757940 20893 SUFENTANILA 50 MCG/ML 5 ML SI IV P 0.0000 17.4583 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 847d542ac0185d1b67689a170ea6b5d9 NAZARENO NULL NULL 12222614646 19143 SERINGA DESC 05 ML UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 25722 OMEPRAZOL 40 MG + DIL. 10 ML PO IV FA 19.5800 0.0000 19.5800 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.4000 0.3883 0.0117 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.6900 0.6863 0.0037 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5986 0.0014 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP 0.6000 0.5997 0.0003 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 00090 SERINGA DESC 20 ML UN 0.5400 0.5380 0.0020 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00919 ALGODAO HIDROFILO BOLINHA UN 0.0000 0.2550 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5200 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00090 SERINGA DESC 20 ML UN 0.0000 0.5300 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3028 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00069 SERINGA DESC 10 ML UN 0.0000 0.3028 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00651 GENTAMICINA 80 MG 2 ML SI IQ IM IV OU AP 0.0000 1.2452 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 54678 HUMULIN 0.0000 0.3000 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51649 ALCOOL ETILICO 70 % ST TP ML 0.0000 0.0400 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 35382 COMPRESSAS DE GASES 7.5 X7,5 (11 FIOS ESTERIL) UN 0.0000 0.8600 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.0000 0.5882 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00342 DIPIRONA 500 MG/ML 2 ML SI IM IV AP 0.0000 0.5886 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 03280 CLOREXIDINA 2 % ST TP ML 0.0000 0.4540 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 03280 CLOREXIDINA 2 % ST TP ML 0.0000 0.4540 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 03280 CLOREXIDINA 2 % ST TP ML 0.0000 0.4540 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 03280 CLOREXIDINA 2 % ST TP ML 0.0000 0.4620 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 27042 CLOREXIDINA 2 % ST TP ML DEGERMANTE 0.0000 2.2820 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 02246 HIDROCORTISONA 100 MG PO IM IV FA 0.0000 2.2678 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 02246 HIDROCORTISONA 100 MG PO IM IV FA 0.0000 2.2678 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 0.0000 6.1788 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 0.0000 3.0894 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 13812 BOLSA SOL. FISIOLOGICA 0,9% 100 ML SI IV BS 0.0000 3.0894 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 11700 EQUIPO P/ BOMBA DE INFUSAO ENTERAL / PARENTERAL 0.0000 81.1100 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 01135 SONDA URETRAL N 08 UN 0.0000 0.0400 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 11325 EQUIPO MACRO-GOTAS FLEXIVEL C/ INJETOR LATERAL UN 0.0000 1.5900 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 01102 SONDA FOLEY 2 VIAS N 16 UN 0.0000 3.8174 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 01101 SONDA FOLEY 2 VIAS N 14 UN 0.0000 3.8174 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 00467 CLORIDRATO DE LIDOCAINA GENERICO Restrito Hosp. NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54685 POLVIDINE ALCOOLICA NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12194551940 54685 POLVIDINE ALCOOLICA NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1055123 4e13adf421809cb755e1bdd80cc4efed AGRIPINA NULL NULL 12325730131 11193 CLOREXIDINA 2 % ST TP ML 0.0000 0.2660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12160378149 27600 ONDANSETRONA 2 MG/ML 4 ML SI IM I 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 0b0d528834878a853de575d6fda99575 ANDRE NULL NULL 12276785149 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6988eef2b31341e6d993e8166326e37a NEILINA NULL NULL 12234622444 57495 FILTRO BARREIRA E REGENERADOR DE CA 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 e785894d6ef2ce2accda4533fbd5105a FABRICIO NULL NULL 12237967240 27545 CAMPO IODOFORADO UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12222650141 25030019 DISTURBIOS CIRCULATORIOS ARTERIO VE 0.0000 80.2424 NULL NAO CONFORMIDADE TECNICA NO PROCEDI 0419
Glosa Min 2018-04-15 00:00:00.000000 1059439 cfec8246cb6dd6b0209430096d4acc2e ZILDA NULL NULL 12216841040 17310 IODOPOVIDONA ALCOOLICA SL TP ML 0.0000 0.3000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 aabbb106aec6c9e5a8208efb3c05210e AVELOMAR NULL NULL 12190351843 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 e773b6e9b7dfcb344553a4d7b580ddf1 ANTONIO NULL NULL 12246874542 28959 DERSANI LC TP ML 0.0000 4.8500 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 5c8ab2d370e46d473148b3824dded22f LINI NULL NULL 12159460648 52353 ABAIXADOR DE LINGUA UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 dae7b92e0827f7ce138f66f330df1add MAURICIO NULL NULL 12190242740 999999 DESPESAS HOSPITALARES DIVERSAS 0.0000 43.8000 NULL PROCEDIMENTO REALIZADO DIFERENTE DO 0404
Glosa Min 2018-04-15 00:00:00.000000 1059439 6c2c7740d4c53021ac7d799141f08429 JUVENIL NULL NULL 12254218741 32891 EQUIPO POLIFIX 2ş VIAS UN 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 0f992b408cbd27a95de887ea229c0b26 JORGINA NULL NULL 12321704643 13404 OMEPRAZOL 40 MG + DIL. 10 ML PO IV 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1059439 a738edfdd97d0c6fbe8a3a5b1c7c2ade LUCIA NULL NULL 12312437943 000501 OXIGENIO 0.0000 149.7920 NULL GLOSA EM SERVICOS HOSPITALARES 0300
Glosa Min 2018-04-15 00:00:00.000000 1059439 10372e0f08cae9e78753fba13a93faaf MARIA NULL NULL 12244062440 29840 ETOMIDATO 2 MG/ML 10 ML SI IV AP 0.0000 0.0000 NULL MAT/MED COBRADO EM EXCESSO,NAO PRES 0306
Glosa Min 2018-04-15 00:00:00.000000 1056380 3c1dc6cfa30e66d5bc1d78a9d59e30db JOELITA NULL NULL 12263402410 00010065 CONSULTA HOSPITALAR (PRONTO SOCORRO 0.0000 0.0000 NULL GUIA DE CONSULTA NAO EXECUTADA 0622
Glosa Min 2018-04-15 00:00:00.000000 1059439 ffe783fdce0e480ec2422b2721abc528 CLAUDUAVIS NULL NULL 12259522449 51240 FITA ADVANTAGE P/ GLICOSE UN 2.5900 2.5876 0.0024 ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1055123 61fd80435c4278b11d9c8303654f21e8 JOAQUIM NULL NULL 12206898835 33219 LUVA DE PROCEDIMENTO UNIDADE UN 0.0000 0.6660 NULL ITEM GLOSADO SEM JUSTIFICATIVA DO CONVENIO 7700
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51514 ATORVASTATINA CALCICA 40 MG CP VO UN 0.0000 2.4800 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51240 FITA ADVANTAGE P/ GLICOSE UN 0.0000 2.5870 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51240 FITA ADVANTAGE P/ GLICOSE UN 0.0000 2.5870 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51240 FITA ADVANTAGE P/ GLICOSE UN 0.0000 2.5870 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51240 FITA ADVANTAGE P/ GLICOSE UN 0.0000 2.5870 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.0000 0.1783 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 1.8016 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.7224 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.7224 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.7224 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.7224 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.3567 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.3567 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.3567 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 51162 AGUA BIDESTILADA 10 ML SI IM IV AP 0.0000 0.3567 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 44001 BOLSA COLETORA (SISTEMA ABERTO) UN 0.0000 0.9609 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 851297c6e963afd1f39f8f41207d7e2b ANTONIO NULL NULL 12164114640 36731 Fentanil 0,05mg/ml 10ml - Fr - Fentanest (cristalia) 0.0000 16.0000 NULL VALOR DO SERVICO SUPERIOR AO VALOR DE TABELA 1714
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0470 0.1330 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0470 0.1330 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51230 AGULHA DESC 30 X 7 - 40X12 UN 0.1800 0.0470 0.1330 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51378 SERINGA DESC 03 ML UN 0.1500 0.0390 0.1110 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00033 AGULHA DESC 25 X 6 - 25X7 - 25X8 - 26X12 UN 0.1000 0.0260 0.0740 ITEM GLOSADO POR RATEIO E SEM JUSTIFICATIVA DO CONVENIO 7701
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00564 ATROPINA 0,25 MG SI IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00564 ATROPINA 0,25 MG SI IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00487 RANITIDINA 25 MG/ML 2 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 26981 SORO FISIOLOGICO 0,9% 10 ML SI IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00211 ESCOPOLAMINA 20 MG/ML 1 ML SI IM IV SC AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51162 AGUA BIDESTILADA 10 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00409 HEPARINA 5000 UI/ML 5 ML SI IV SC ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 03280 CLOREXIDINA 2 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 03280 CLOREXIDINA 2 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 03280 CLOREXIDINA 2 % ST TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 01002 FUROSEMIDA 10 MG/ML 2 ML SI IM IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 09340 LEVOFLOXACINO 5 MG/ML 100 ML SI IV BS NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00796 FLORATIL (SACCHAROMYCES BOULARDII) 200 MG PO VO NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00796 FLORATIL (SACCHAROMYCES BOULARDII) 200 MG PO VO NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00796 FLORATIL (SACCHAROMYCES BOULARDII) 200 MG PO VO NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00706 METRONIDAZOL 500 MG 100 ML SI IV BS NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 54653 DERSANI LC TP ML NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 52303 NOREPINEFRINA 2 MG/ML 4 ML SI IV AP NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51673 ALGINATO DE CALCIO EM HIDROGEL GL TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51673 ALGINATO DE CALCIO EM HIDROGEL GL TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51673 ALGINATO DE CALCIO EM HIDROGEL GL TP GR NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 51439 MEROPENEM 1G PO IV FA NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00170 SORO GLICOSADO 5% 250 ML SI IV BS NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 00170 SORO GLICOSADO 5% 250 ML SI IV BS NULL 0.0000 NULL OPME INVALIDO 2201
Glosa Min 2018-04-15 00:00:00.000000 1059439 7f7eefcd4eb231f6c6f01d90511410df ARMELINDO NULL NULL 12241540741 15010023 Hemodiálise (Por Sessão) NULL 0.0000 NULL OPME INVALIDO 2201